Anthem Blue Cross Blue Shield of Colorado prior authorization, page 46
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
| Code | Description | Source |
|---|---|---|
| 92610 | Eval, Oral & Pharyngeal Swallow Function | Colorado Prior Authorization List, Pg 109 Original policy |
| 92611 | Motion Fluoroscopic Eval, Swallow Function, Cine/Video Record | Colorado Prior Authorization List, Pg 109 Original policy |
| 92618 | Evaluation For Prescription Of Non-Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face With The Patient; Each Additional 30 Minutes (List Separat | Colorado Prior Authorization List, Pg 109 Original policy |
| 92626 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour | Colorado Prior Authorization List, Pg 109 Original policy |
| 92627 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List sepa | Colorado Prior Authorization List, Pg 109 Original policy |
| 92630 | Auditory rehabilitation; pre-lingual hearing loss | Colorado Prior Authorization List, Pg 109 Original policy |
| 92633 | Auditory rehabilitation; post-lingual hearing loss | Colorado Prior Authorization List, Pg 109 Original policy |
| 92920 | Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) | Colorado Prior Authorization List, Pg 109 Original policy |
| 92924 | Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) | Colorado Prior Authorization List, Pg 109 Original policy |
| 92928 | Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involvin | Colorado Prior Authorization List, Pg 110 Original policy |
| 92933 | Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) | Colorado Prior Authorization List, Pg 110 Original policy |
| 92937 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, ather | Colorado Prior Authorization List, Pg 110 Original policy |
| 92943 | Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major | Colorado Prior Authorization List, Pg 110 Original policy |
| 92972 | Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) | Colorado Prior Authorization List, Pg 110 Original policy |
| 93150 | Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming | Colorado Prior Authorization List, Pg 110 Original policy |
| 93151 | Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system | Colorado Prior Authorization List, Pg 110 Original policy |
| 93152 | Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography | Colorado Prior Authorization List, Pg 110 Original policy |
| 93153 | Interrogation without programming of implanted phrenic nerve stimulator system | Colorado Prior Authorization List, Pg 110 Original policy |
| 93228 | External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data | Colorado Prior Authorization List, Pg 110 Original policy |
| 93229 | External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data | Colorado Prior Authorization List, Pg 110 Original policy |
| 93264 | Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation | Colorado Prior Authorization List, Pg 110 Original policy |
| 93303 | Transthoracic Echocardiography, Congenital Cardiac Anomalies; Complete | Colorado Prior Authorization List, Pg 110 Original policy |
| 93304 | Transthoracic Echocardiography, Congenital Cardiac Anomalies; Follow- Up/Limited Study | Colorado Prior Authorization List, Pg 110 Original policy |
| 93306 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, com | Colorado Prior Authorization List, Pg 110 Original policy |
| 93307 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, com | Colorado Prior Authorization List, Pg 110 Original policy |
| 93308 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, fol | Colorado Prior Authorization List, Pg 110 Original policy |
| 93312 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including | Colorado Prior Authorization List, Pg 110 Original policy |
| 93313 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement | Colorado Prior Authorization List, Pg 110 Original policy |
| 93314 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acq | Colorado Prior Authorization List, Pg 110 Original policy |
| 93315 | Echocardiography, Transesophageal, Congenital Anomalies; W/Probe, Image, Intepretation & Report | Colorado Prior Authorization List, Pg 110 Original policy |
| 93316 | Echocardiography, Transesophageal, Congenital Anomalies; Transesophageal Probe Placement Only | Colorado Prior Authorization List, Pg 110 Original policy |
| 93317 | Echocardiography, Transesophageal, Congenital Anomalies; Image, Interpretation & Report | Colorado Prior Authorization List, Pg 110 Original policy |
| 93350 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, dur | Colorado Prior Authorization List, Pg 110 Original policy |
| 93351 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill | Colorado Prior Authorization List, Pg 111 Original policy |
| 93454 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation | Colorado Prior Authorization List, Pg 111 Original policy |
| 93455 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93456 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93457 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93458 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93459 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93460 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93461 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; wit | Colorado Prior Authorization List, Pg 111 Original policy |
| 93580 | Perc Transcatheter Closure, Congenital Interatrial Communication W/Implant | Colorado Prior Authorization List, Pg 111 Original policy |
| 93600 | Bundle Of His Recording | Colorado Prior Authorization List, Pg 111 Original policy |
| 93602 | Intra-Atrial Recording | Colorado Prior Authorization List, Pg 111 Original policy |
| 93603 | Right Ventricular Recording | Colorado Prior Authorization List, Pg 111 Original policy |
| 93609 | Intraventricular &/Or Intra-Atrial Mapping, Tachycardia Site(S) W/Catheter Manipulation | Colorado Prior Authorization List, Pg 111 Original policy |
| 93613 | Intracardiac Electrophysiologic 3-Dimensional Mapping | Colorado Prior Authorization List, Pg 111 Original policy |
| 93619 | Electrophys Eval, W/Right Atrial/Ventricular Pace/Recording, Insertion Cath, W/O Arrhyth Induction | Colorado Prior Authorization List, Pg 111 Original policy |
| 93620 | Electrophys Eval, Insert Cath, W/Arrhyth Induction; W/Right Atrial/Ventricular Pace/Record | Colorado Prior Authorization List, Pg 111 Original policy |