Prior Auth Required

99233 - Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient,

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient,
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. 99233 Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making.

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.