Prior Auth Required

99547 - when CPT codes can be used)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicewhen CPT codes can be used)
Procedure / Service Description

supplies, and other services, per diem - supplies, and other services, per diem S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used) S9124 Nursing care, in the home; by licensed practical nurse, per hour S9125 Respite care, in the home, per diem

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.