Prior Auth Required

99245 - ● Office or other outpatient consultations (CPT codes )

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service● Office or other outpatient consultations (CPT codes )
Procedure / Service Description

These providers may be reimbursed, as appropriate, for the following services provided through telemedicine - ● Office or other outpatient services (CPT (Current Procedural Terminology) procedure codes 99201-99205, 99211- 99215). ● Office or other outpatient consultations (CPT codes 99241-99245). ● Initial inpatient consultations (CPT codes 99251-99255).

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.