Anthem Blue Cross and Blue Shield Virginia prior authorization, page 31

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
Code	Description	Source
82108	Aluminum	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82120	Amines, Vaginal Fluid, Qualitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82127	Amino Acids; Single, Qualitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82128	Amino Acids; Multiple, Qualitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82131	Amino Acids; Single, Quantitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82135	Aminolevulinic Acid, Delta (Ala)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
82136	Amino Acids, 2-5 Amino Acids, Quantitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82139	Amino Acids, 6+ Amino Acids, Quantitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82140	Ammonia	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82143	Amniotic Fluid Scan (Spectrophotometric)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82150	Amylase	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82154	Androstanediol Glucuronide	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82157	Androstenedione	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82160	Androsterone	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82163	Angiotensin Ii	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82164	Angiotensin I - Converting Enzyme (Ace)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82172	Apolipoprotein, Each	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82175	Arsenic	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82180	Ascorbic Acid (Vitamin C), Blood	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82190	Atomic Absorption Spectroscopy, Each Analyte	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82232	Beta-2 Microglobulin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82233	Beta-amyloid; 1-40	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82234	Beta-amyloid; 1-42	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82239	Bile Acids; Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82240	Bile Acids; Cholylglycine	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82247	Bilirubin; Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82248	Bilirubin; Direct	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82252	Bilirubin; Feces, Qualitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82261	Biotinidase, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82270	Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patie	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82271	Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82272	Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for o	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82274	Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82286	Bradykinin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82300	Cadmium	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82308	Calcitonin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82310	Calcium; Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82330	Calcium; Ionized	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82331	Calcium; After Calcium Infusion Test	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82340	Calcium; Urine Quantitative, Timed Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82355	Calculus; Qualitative Analysis	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82360	Calculus; Quantitative Analysis, Chemical	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82365	Calculus; Infrared Spectroscopy	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82370	Calculus; X-Ray Diffraction	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82373	Carbohydrate Deficient Transferrin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82374	Carbon Dioxide (Bicarbonate)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82375	Carboxyhemoglobin; quantitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82376	Carboxyhemoglobin; qualitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82378	Carcinoembryonic Antigen (Cea)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 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.