GuidingCare was recently updated & CPT code 99222 can no longer be used for authorization requests

CPT code 99222 is no longer accepted when entering authorization requests in GuidingCare. If used, you’ll see the message below pop up on your screen:

"An authorization cannot be processed for this service. Please check the Priority Health website for information on services that require prior authorization."

Our GuidingCare authorization guides list the appropriate procedure / revenue codes to use when entering your requests. To access the guides:

  1. Log into your prism account
  2. Open the Authorizations menu
  3. Click Request an auth
  4. Click Auth request help page