Prior Auth Required

78999 - Unlisted miscellaneous procedure, Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted miscellaneous procedure, Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

and anatomical localization imaging; whole results of previous diagnostics procedure - body report. No review needed when billed with code A9588. 78999 Unlisted miscellaneous procedure, Medical necessity review will be Medical Necessity Review required at claims submission; diagnostic nuclear medicine performed upon claims submission submit description of procedure with with supporting documentation. supporting documentation (including

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.