Talk to Us

Anthem Blue Cross and Blue Shield Nevada prior authorization, page 48

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
93925Duplex Scan, Lower Extremity Arteries/Arterial Bypass Grafts; Complete Bilat StudyNevada Prior Authorization List, Pg 105 Original policy
93926Duplex Scan, Lower Extremity Arteries/Arterial Bypass Grafts; Unilat/Limited StudyNevada Prior Authorization List, Pg 105 Original policy
93930Duplex Scan, Upper Extremity Arteries/Arterial Bypass Grafts; Complete Bilat StudyNevada Prior Authorization List, Pg 105 Original policy
93931Duplex Scan, Upper Extremity Arteries/Arterial Bypass Grafts; Unilat/Limited StudyNevada Prior Authorization List, Pg 105 Original policy
93978Duplex Scan, Aorta, Inferior Vena Cava, Iliac Vasculature/Bypass Grafts; Complete StudyNevada Prior Authorization List, Pg 105 Original policy
93979Duplex Scan, Aorta, Inferior Vena Cava, Iliac Vasculature/Bypass Grafts; Unilat/LimitedNevada Prior Authorization List, Pg 105 Original policy
94667Chest Wall Manipulation, Facilitate Lung Function; Initial Demo &/Or EvalNevada Prior Authorization List, Pg 105 Original policy
94668Chest Wall Manipulation, Facilitate Lung Function; SubsequentNevada Prior Authorization List, Pg 105 Original policy
95782Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologistNevada Prior Authorization List, Pg 105 Original policy
95783Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-levelNevada Prior Authorization List, Pg 105 Original policy
95800Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep timeNevada Prior Authorization List, Pg 105 Original policy
95801Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)Nevada Prior Authorization List, Pg 105 Original policy
95805Multiple Sleep Latency Test, Multiple TrailsNevada Prior Authorization List, Pg 105 Original policy
95806Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratoryNevada Prior Authorization List, Pg 105 Original policy
95807Sleep Study, AttendedNevada Prior Authorization List, Pg 105 Original policy
95808Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologistNevada Prior Authorization List, Pg 105 Original policy
95810Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologistNevada Prior Authorization List, Pg 105 Original policy
95811Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel vNevada Prior Authorization List, Pg 105 Original policy
95905Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, eacNevada Prior Authorization List, Pg 105 Original policy
95921Testing, Autonomic Nervous System; Cardiovagal Innervation ParasympatheticNevada Prior Authorization List, Pg 105 Original policy
95923Testing, Autonomic Nervous System; SudomotorNevada Prior Authorization List, Pg 105 Original policy
95965Magnetoencephalography (Meg), Record & Analysis; For Spontaneous Brain Magnetic ActivityNevada Prior Authorization List, Pg 105 Original policy
95966Magnetoencephalography (Meg), Record & Analysis; For Evoked Magnetic Fields, Single ModalityNevada Prior Authorization List, Pg 105 Original policy
95976Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burstNevada Prior Authorization List, Pg 105 Original policy
95977Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burstNevada Prior Authorization List, Pg 105 Original policy
96001Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measuremenNevada Prior Authorization List, Pg 105 Original policy
96365Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourNevada Prior Authorization List, Pg 105 Original policy
96372Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularNevada Prior Authorization List, Pg 106 Original policy
96904Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history oNevada Prior Authorization List, Pg 106 Original policy
96931Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesionNevada Prior Authorization List, Pg 106 Original policy
96932Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, first lesionNevada Prior Authorization List, Pg 106 Original policy
96933Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, first lesionNevada Prior Authorization List, Pg 106 Original policy
96934Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately iNevada Prior Authorization List, Pg 106 Original policy
96935Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for prNevada Prior Authorization List, Pg 106 Original policy
96936Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion (List separately in addition to codNevada Prior Authorization List, Pg 106 Original policy
97010Application of a modality to 1 or more areas; hot or cold packsNevada Prior Authorization List, Pg 106 Original policy
97012Application of a modality to 1 or more areas; traction, mechanicalNevada Prior Authorization List, Pg 106 Original policy
97014Application of a modality to 1 or more areas; electrical stimulation (unattended)Nevada Prior Authorization List, Pg 106 Original policy
97016Application of a modality to 1 or more areas; vasopneumatic devicesNevada Prior Authorization List, Pg 106 Original policy
97018Application of a modality to 1 or more areas; paraffin bathNevada Prior Authorization List, Pg 106 Original policy
97022Application of a modality to 1 or more areas; whirlpoolNevada Prior Authorization List, Pg 106 Original policy
97024Application of a modality to 1 or more areas; diathermy (eg, microwave)Nevada Prior Authorization List, Pg 106 Original policy
97026Application of a modality to 1 or more areas; infraredNevada Prior Authorization List, Pg 106 Original policy
97028Application of a modality to 1 or more areas; ultravioletNevada Prior Authorization List, Pg 106 Original policy
97032Application, Modality 1+ Areas; Electrical Stimulation (Manual), Each 15 MinNevada Prior Authorization List, Pg 106 Original policy
97033Application of a modality to 1 or more areas; iontophoresis, each 15 minutesNevada Prior Authorization List, Pg 106 Original policy
97034Application, Modality To 1+ Areas; Contrast Baths, Each 15 MinNevada Prior Authorization List, Pg 107 Original policy
97035Application, Modality To 1+ Areas; Ultrasound, Each 15 MinNevada Prior Authorization List, Pg 107 Original policy
97036Application, Modality To 1+ Areas; Hubbard Tank, Each 15 MinNevada Prior Authorization List, Pg 107 Original policy
97110Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic ExercisesNevada Prior Authorization List, Pg 107 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