Talk to Us

Anthem Blue Cross and Blue Shield Virginia prior authorization, page 40

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
86481Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspensionVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86485Skin Test; CandidaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86486Skin test; unlisted antigen, eachVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86510Skin Test; HistoplasmosisVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86580Skin Test; Tuberculosis, IntradermalVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86590Streptokinase, AntibodyVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 47 Original policy
86592Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86593Syphilis test, non-treponemal antibody; quantitativeVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86602Antibody; ActinomycesVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86603Antibody; AdenovirusVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86606Antibody; AspergillusVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86609Antibody; Bacterium, Not Elsewhere SpecifiedVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86611Antibody; BartonellaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86612Antibody; BlastomycesVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86615Antibody; BordetellaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86617Antibody; Borrelia Burgdorferi (Lyme Disease) Confirmatory TestVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86618Antibody; Borrelia Burgdorferi (Lyme Disease)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86619Antibody; Borrelia (Relapsing Fever)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86622Antibody; BrucellaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86625Antibody; CampylobacterVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86628Antibody; CandidaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86631Antibody; ChlamydiaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86632Antibody; Chlamydia, IgmVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86635Antibody; CoccidioidesVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86638Antibody; Coxiella Brunetii (Q Fever)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86641Antibody; CryptococcusVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86644Antibody; Cytomegalovirus (Cmv)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86645Antibody; Cytomegalovirus (Cmv), IgmVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86648Antibody; DiphtheriaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86651Antibody; Encephalitis, California (La Crosse)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86652Antibody; Encephalitis, Eastern EquineVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86653Antibody; Encephalitis, St. LouisVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86654Antibody; Encephalitis, Western EquineVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86658Antibody; EnterovirusVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86663Antibody; Epstein-Barr (Eb) Virus, Early Antigen (Ea)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86664Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86665Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86666Antibody; EhrlichiaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86668Antibody; Francisella TularensisVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86671Antibody; Fungus, Not Elsewhere SpecifiedVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86674Antibody; Giardia LambliaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86677Antibody; Helicobacter PyloriVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86682Antibody; Helminth, Not Elsewhere SpecifiedVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86684Antibody; Hemophilus InfluenzaVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86687Antibody; Htlv-IVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86688Antibody; Htlv-IiVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86689Antibody; Htlv/Hiv Antibody, Confirmatory TestVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86692Antibody; Hepatitis, Delta AgentVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86694Antibody; Herpes Simplex, Non-Specific Type TestVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 Original policy
86695Antibody; Herpes Simplex, Type IVirginia HMO/EPO standard precertification/prior authorization requirements, Pg 48 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