Prior Auth Required

99255 - consultation Must see the patient face to face

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceconsultation Must see the patient face to face
Procedure / Service Description

Code - 99233 hospital care medical care after initial inpatient hospital consultation 99251— Initial inpatient A physician requests a consultation. 99255 consultation Must see the patient face to face. Institute of Mental Disease (IMD)

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.