Prior Auth Required

99394 - screen results in a referral or including HealthCheck

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicescreen results in a referral or including HealthCheck
Procedure / Service Description

Modifier Description Allowable procedure Allowable providers - codes UA * Comprehensive HealthCheck 99381-99385 and All HealthCheck providers, screen results in a referral or 99391-99395 including HealthCheck follow up visit for diagnostic or nursing agencies. corrective treatment

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.