Talk to Us

Anthem Blue Cross and Blue Shield Nevada prior authorization, page 11

CPT code lookup

Each row is one code from the public prior authorization list. The description is the procedure or service name on that source row. This is not a coverage decision.

Prior authorization codes

Prior authorization codes
CodeDescriptionSource
27134Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/AllograftNevada Prior Authorization List, Pg 24 Original policy
27137Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/AllograftNevada Prior Authorization List, Pg 24 Original policy
27138Revision, Total Hip Arthroplasty; Femoral Component Only, W/Wo AllograftNevada Prior Authorization List, Pg 24 Original policy
27275Manipulation, Hip Joint, Requiring General AnesthesiaNevada Prior Authorization List, Pg 24 Original policy
27279Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular dNevada Prior Authorization List, Pg 24 Original policy
27280Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performedNevada Prior Authorization List, Pg 24 Original policy
27331Arthrotomy, Knee; W/Joint Exploration, Bx/Removal, Loose/FbNevada Prior Authorization List, Pg 24 Original policy
27332Arthrotomy, W/Excision, Semilunar Cartilage (Meniscectomy) Knee; Medial/LateralNevada Prior Authorization List, Pg 24 Original policy
27333Arthrotomy, W/Excision, Semilunar Cartilage (Meniscectomy) Knee; Medial & LateralNevada Prior Authorization List, Pg 24 Original policy
27334Arthrotomy, W/Synovectomy Knee; Anterior/PosteriorNevada Prior Authorization List, Pg 24 Original policy
27335Arthrotomy, W/Synovectomy Knee; Anterior & Posterior W/Popliteal AreaNevada Prior Authorization List, Pg 24 Original policy
27345Excision, Synovial Cyst, Popliteal SpaceNevada Prior Authorization List, Pg 24 Original policy
27347Excision, Lesion, Meniscus/Capsule, KneeNevada Prior Authorization List, Pg 24 Original policy
27403Arthrotomy W/Meniscus Repair, KneeNevada Prior Authorization List, Pg 24 Original policy
27405Repair, Primary, Torn Ligament &/Or Capsule, Knee; CollateralNevada Prior Authorization List, Pg 25 Original policy
27407Repair, Primary, Torn Ligament &/Or Capsule, Knee; CruciateNevada Prior Authorization List, Pg 25 Original policy
27409Repair, Primary, Torn Ligament &/Or Capsule, Knee; Collateral & Cruciate LigamentsNevada Prior Authorization List, Pg 25 Original policy
27412Autologous Chondrocyte Implantation, KneeNevada Prior Authorization List, Pg 25 Original policy
27415Rep Ligaments Knee+pes Anserin TranNevada Prior Authorization List, Pg 25 Original policy
27416Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft(s)Nevada Prior Authorization List, Pg 25 Original policy
27425Lateral Retinacular Release OpenNevada Prior Authorization List, Pg 25 Original policy
27427Ligamentous Reconstruction (Augmentation), Knee; Extra-ArticularNevada Prior Authorization List, Pg 25 Original policy
27428Ligamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open)Nevada Prior Authorization List, Pg 25 Original policy
27429Ligamentous Reconstruction (Augmentation), Knee; Intra-Articular, (Open) & Extra-ArticularNevada Prior Authorization List, Pg 25 Original policy
27437Arthroplasty, Patella; W/O ProsthesisNevada Prior Authorization List, Pg 25 Original policy
27438Arthroplasty, Patella; W/ProsthesisNevada Prior Authorization List, Pg 25 Original policy
27440Arthroplasty, Knee, Tibial PlateauNevada Prior Authorization List, Pg 25 Original policy
27441Arthroplasty, Knee, Tibial Plateau; W/Debridement & Partial SynovectomyNevada Prior Authorization List, Pg 25 Original policy
27442Arthroplasty, Femoral Condyles/Tibial Plateau(S), KneeNevada Prior Authorization List, Pg 25 Original policy
27443Arthroplasty, Femoral Condyles/Tibial Plateau(S), Knee; W/Debridement & Partial SynovectomyNevada Prior Authorization List, Pg 25 Original policy
27446Arthroplasty, Knee, Condyle & Plateau; Medial/Lateral CompartmentNevada Prior Authorization List, Pg 26 Original policy
27447Arthroplasty, Knee, Condyle & Plateau; Medial & Lateral Compartments, W/Wo Patella ResurfacingNevada Prior Authorization List, Pg 26 Original policy
27486Revision, Total Knee Arthroplasty, W/Wo Allograft; 1 ComponentNevada Prior Authorization List, Pg 26 Original policy
27487Revision, Total Knee Arthroplasty; Femoral & Entire Tibial ComponentNevada Prior Authorization List, Pg 26 Original policy
27488Removal, Knee Prosthesis, Methylmethacrylate W/Wo Spacer InsertionNevada Prior Authorization List, Pg 26 Original policy
27570Manipulation, Knee Joint Under General AnesthesiaNevada Prior Authorization List, Pg 26 Original policy
27613Bx, Soft Tissue, Leg/Ankle Area; SuperficialNevada Prior Authorization List, Pg 26 Original policy
27614Bx, Soft Tissue, Leg/Ankle Area; Deep (Subfascial/Im)Nevada Prior Authorization List, Pg 26 Original policy
27618Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cmNevada Prior Authorization List, Pg 26 Original policy
27619Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cmNevada Prior Authorization List, Pg 26 Original policy
27632Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greaterNevada Prior Authorization List, Pg 26 Original policy
27634Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greaterNevada Prior Authorization List, Pg 26 Original policy
27702Arthroplasty, Ankle; W/Implant (Total Ankle)Nevada Prior Authorization List, Pg 26 Original policy
27703Arthroplasty, Ankle; Revision, Total AnkleNevada Prior Authorization List, Pg 26 Original policy
27704Removal, Ankle ImplantNevada Prior Authorization List, Pg 26 Original policy
27860Manipulation, Ankle Under General AnesthesiaNevada Prior Authorization List, Pg 26 Original policy
27870Arthrodesis, Ankle, OpenNevada Prior Authorization List, Pg 26 Original policy
28110Ostectomy, Partial Excision, 5th Metatarsal Head (Bunionette) (Sep Proc)Nevada Prior Authorization List, Pg 27 Original policy
28285Correction, HammertoeNevada Prior Authorization List, Pg 27 Original policy
28286Correction, Cock-Up Fifth Toe, W/Plastic Skin ClosureNevada Prior Authorization List, Pg 27 Original policy

Sources

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

This website uses cookies to ensure you get the best experience on our website. Learn more