Prior Auth Required

99212 - physician and documented in the same manner as face-to-face services. Coverage is limited to procedure codes or

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicephysician and documented in the same manner as face-to-face services. Coverage is limited to procedure codes or
Procedure / Service Description

appropriate CPT code for the service performed. These services must be provided under the direct on-site supervision of a - physician's NPI (National Provider Identifier) using the lowest appropriate level office or outpatient visit procedure code or other appropriate CPT code for the service performed. These services must be provided under the direct on-site supervision of a physician and documented in the same manner as face-to-face services. Coverage is limited to procedure codes 99211 or 99212, as appropriate.

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.