Prior Auth Required

99199 - Unlisted special service or report Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted special service or report Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

hyperbaric oxygen therapy, per session necessity, treatment plan, treatments - hyperbaric oxygen therapy, per session necessity, treatment plan, treatments tried and failed and procedure report 99199 Unlisted special service or report Medical necessity review will be Medical Necessity Review required at claims submission; 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.