Prior Auth Required

99509 - Custodial Care Home visit day life activity, 1 hour Licensed caregiver only

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCustodial Care Home visit day life activity, 1 hour Licensed caregiver only
Procedure / Service Description

Code Mod Procedures & Services Description Rule Description - 97814 Chronic Low Back Pain Treatment Acupunct w/stimul addl 15m 99374 Home Health Nursing & NH Aide Home health care supervision 99509 Custodial Care Home visit day life activity, 1 hour Licensed caregiver only. A0426 Ambulance Transport Ambulance, ALS-1 non-emergency Always requires Prior Authorization. A0428 Ambulance Transport Ambulance, BLS non-emergency Always requires Prior Authorization.

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.