Prior Auth Required

99348 - Home or residence visit for the evaluation and management of an established patient, which requires a

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHome or residence visit for the evaluation and management of an established patient, which requires a
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. Code NAME/DESCRIPTION COMMENTS 99348 Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

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.