Prior Auth Required

99235 - Medicare Reference: None

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMedicare Reference: None
Procedure / Service Description

2. Hospital Outpatient Services: Observation, Outpatient Surgery - Observation 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, Medicare Reference: None 99234, 99235, 99236, G0378, G0379 Revenue Code 0760, 0761, 0762 for the Observation Charge

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.