Prior Auth Required
99070 - Supplies and materials (except Medical necessity review will be Medical Necessity Review required at claims submission
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceSupplies and materials (except Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description
Code Description Plan Review Requirement Reviewed For Records Request - provided out of the office at request of member's contract indicates coverage. patient, in addition to basic service 99070 Supplies and materials (except Medical necessity review will be Medical Necessity Review required at claims submission; spectacles), provided by the physician or performed upon claims submission submit description of procedure with other qualified health care professional 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.