Prior Auth Required

99231 - — Subsequent Medical physician manages recipient’s non-psychiatric

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service— Subsequent Medical physician manages recipient’s non-psychiatric
Procedure / Service Description

Code - • Preliminary diagnosis and plan of care are part of the initial visit 99231— Subsequent Medical physician manages recipient’s non-psychiatric 99233 hospital care medical care after initial inpatient hospital consultation 99251— Initial inpatient A physician requests a consultation.

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.