Anthem Blue Cross and Blue Shield Virginia prior authorization, page 32

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
82379	Carnitine (Total & Free), Quantitative, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82380	Carotene	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82382	Catecholamines; Total Urine	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82383	Catecholamines; Blood	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82384	Catecholamines; Fractionated	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82387	Cathepsin-D	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82390	Ceruloplasmin	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82397	Chemiluminescent Assay	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82415	Chloramphenicol	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82435	Chloride; Blood	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82436	Chloride; Urine	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82438	Chloride; Other Source	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 38 Original policy
82441	Chlorinated Hydrocarbons, Screen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82465	Cholesterol, Serum/Whole Blood, Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82480	Cholinesterase; Serum	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82482	Cholinesterase; Rbc	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82485	Chondroitin B Sulfate, Quantitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82495	Chromium	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82507	Citrate	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82523	Collagen Cross Links, Any Method	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82525	Copper	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82528	Corticosterone	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82530	Cortisol; Free	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82533	Cortisol; Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82540	Creatine	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82542	Column Chromatography/Mass Spectrometry; Quantitative, Single Stationary & Mobile Phase	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82550	Creatine Kinase (Ck), (Cpk); Total	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82552	Creatine Kinase (Ck), (Cpk); Isoenzymes	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82553	Creatine Kinase (Ck), (Cpk); Mb Fraction Only	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82554	Creatine Kinase (Ck), (Cpk); Isoforms	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82565	Creatinine; Blood	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82570	Creatinine; Other Source	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82575	Creatinine; Clearance	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82585	Cryofibrinogen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82595	Cryoglobulin, Qualitative Or Semi-Quantitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82600	Cyanide	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82607	Cyanocobalamin (Vitamin B-12)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82608	Cyanocobalamin (Vitamin B-12); Unsaturated Binding Capacity	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82610	Cystatin C	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82615	Cystine & Homocystine, Urine, Qualitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82626	Dehydroepiandrosterone (Dhea)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82627	Dehydroepiandrosterone-Sulfate (Dhea-S)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82633	Desoxycorticosterone, 11	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82634	Deoxycortisol, 11	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82638	Dibucaine Number	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82642	Dihydrotestosterone (DHT)	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82652	Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82656	Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82657	Enzyme Activity, Cells/Tissue Not Elsewhere Specified; Nonradioactive Substrate, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 Original policy
82658	Enzyme Activity, Cells/Tissue Not Elsewhere Specified; Radioactive Substrate, Each Specimen	Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 39 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.