Blue Cross and Blue Shield of Texas policy

Code List Effective 4/1/2022

Code List Effective 4/1/2022 is a public Blue Cross and Blue Shield of Texas policy. It lists 1,571 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Blue Cross and Blue Shield of Texas
Line of business
Commercial, Medicaid
States
TX
Source
www.bcbstx.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.

CodeOther Blue Cross and Blue Shield of Texas policies
0356TPolicies naming 0356T
0449TPolicies naming 0449T
0707TPolicies naming 0707T
10005Policies naming 10005
11450Policies naming 11450
11462Policies naming 11462
11463Policies naming 11463
11470Policies naming 11470
11770Policies naming 11770
11771Policies naming 11771
11772Policies naming 11772
11960Policies naming 11960
11971Policies naming 11971
12037Policies naming 12037
12046Policies naming 12046
14040Policies naming 14040
15003Policies naming 15003
15101Policies naming 15101
15110Policies naming 15110
15150Policies naming 15150
15155Policies naming 15155
15200Policies naming 15200
15273Policies naming 15273
15650Policies naming 15650
15730Policies naming 15730
15731Policies naming 15731
15734Policies naming 15734
15736Policies naming 15736
15738Policies naming 15738
15777Policies naming 15777
15820Policies naming 15820
15821Policies naming 15821
15822Policies naming 15822
15823Policies naming 15823
15830Policies naming 15830
15832Policies naming 15832
15836Policies naming 15836
15839Policies naming 15839
15841Policies naming 15841
15936Policies naming 15936
15937Policies naming 15937
16030Policies naming 16030
19033Policies naming 19033
19081Policies naming 19081
19083Policies naming 19083
19085Policies naming 19085
19101Policies naming 19101
19110Policies naming 19110
19120Policies naming 19120
19125Policies naming 19125
19126Policies naming 19126
19297Policies naming 19297
19300Policies naming 19300
19301Policies naming 19301
19302Policies naming 19302
19303Policies naming 19303
19316Policies naming 19316
19318Policies naming 19318
19325Policies naming 19325
19328Policies naming 19328
19330Policies naming 19330
19340Policies naming 19340
19342Policies naming 19342
19350Policies naming 19350
19355Policies naming 19355
19357Policies naming 19357
19370Policies naming 19370
19371Policies naming 19371
19380Policies naming 19380
20150Policies naming 20150
20206Policies naming 20206
20225Policies naming 20225
20525Policies naming 20525
20680Policies naming 20680
20690Policies naming 20690
20692Policies naming 20692
20693Policies naming 20693
20694Policies naming 20694
20900Policies naming 20900
20902Policies naming 20902
20912Policies naming 20912
20924Policies naming 20924
20982Policies naming 20982
21015Policies naming 21015
21016Policies naming 21016
21029Policies naming 21029
21034Policies naming 21034
21047Policies naming 21047
21121Policies naming 21121
21123Policies naming 21123
21198Policies naming 21198
21199Policies naming 21199
21235Policies naming 21235
21244Policies naming 21244
21245Policies naming 21245
21280Policies naming 21280
21320Policies naming 21320
21325Policies naming 21325
21330Policies naming 21330
21335Policies naming 21335
21336Policies naming 21336
21337Policies naming 21337
21355Policies naming 21355
21360Policies naming 21360
21390Policies naming 21390
21406Policies naming 21406
21461Policies naming 21461
21550Policies naming 21550
21552Policies naming 21552
21554Policies naming 21554
21555Policies naming 21555
21556Policies naming 21556
21558Policies naming 21558
21600Policies naming 21600
21932Policies naming 21932
21933Policies naming 21933
21935Policies naming 21935
21936Policies naming 21936
22102Policies naming 22102
22103Policies naming 22103
22510Policies naming 22510
22511Policies naming 22511
22513Policies naming 22513
22514Policies naming 22514
22551Policies naming 22551
22558Policies naming 22558
22612Policies naming 22612
22630Policies naming 22630
22856Policies naming 22856
22900Policies naming 22900
22901Policies naming 22901
22902Policies naming 22902
22903Policies naming 22903
22905Policies naming 22905
23020Policies naming 23020
23040Policies naming 23040
23044Policies naming 23044
23066Policies naming 23066
23071Policies naming 23071
23073Policies naming 23073
23076Policies naming 23076
23078Policies naming 23078
23120Policies naming 23120
23125Policies naming 23125
23130Policies naming 23130
23140Policies naming 23140
23146Policies naming 23146
23150Policies naming 23150
23155Policies naming 23155
23180Policies naming 23180
23184Policies naming 23184
23190Policies naming 23190
23195Policies naming 23195
23395Policies naming 23395
23397Policies naming 23397
23405Policies naming 23405
23406Policies naming 23406
23412Policies naming 23412
23415Policies naming 23415
23420Policies naming 23420
23430Policies naming 23430
23440Policies naming 23440
23450Policies naming 23450
23455Policies naming 23455
23462Policies naming 23462
23465Policies naming 23465
23466Policies naming 23466
23472Policies naming 23472
23480Policies naming 23480
23485Policies naming 23485
23515Policies naming 23515
23550Policies naming 23550
23552Policies naming 23552
23585Policies naming 23585
23605Policies naming 23605
23615Policies naming 23615
23630Policies naming 23630
23665Policies naming 23665
23670Policies naming 23670
23700Policies naming 23700
23921Policies naming 23921
24000Policies naming 24000
24006Policies naming 24006
24073Policies naming 24073
24076Policies naming 24076
24077Policies naming 24077
24101Policies naming 24101
24102Policies naming 24102
24105Policies naming 24105
24110Policies naming 24110
24116Policies naming 24116
24120Policies naming 24120
24130Policies naming 24130
24140Policies naming 24140
24145Policies naming 24145
24147Policies naming 24147
24149Policies naming 24149
24164Policies naming 24164
24201Policies naming 24201
24300Policies naming 24300
24301Policies naming 24301
24305Policies naming 24305
24310Policies naming 24310
24320Policies naming 24320
24331Policies naming 24331
24340Policies naming 24340
24341Policies naming 24341
24342Policies naming 24342
24343Policies naming 24343
24344Policies naming 24344
24345Policies naming 24345
24346Policies naming 24346
24357Policies naming 24357
24358Policies naming 24358
24359Policies naming 24359
24362Policies naming 24362
24363Policies naming 24363
24365Policies naming 24365
24366Policies naming 24366
24371Policies naming 24371
24400Policies naming 24400
24430Policies naming 24430
24435Policies naming 24435
24515Policies naming 24515
24516Policies naming 24516
24538Policies naming 24538
24545Policies naming 24545
24546Policies naming 24546
24566Policies naming 24566
24575Policies naming 24575
24579Policies naming 24579
24582Policies naming 24582
24586Policies naming 24586
24587Policies naming 24587
24605Policies naming 24605
24615Policies naming 24615
24620Policies naming 24620
24635Policies naming 24635
24655Policies naming 24655
24665Policies naming 24665
24666Policies naming 24666
24675Policies naming 24675
24685Policies naming 24685
25000Policies naming 25000
25001Policies naming 25001
25020Policies naming 25020
25040Policies naming 25040
25066Policies naming 25066
25073Policies naming 25073
25076Policies naming 25076
25077Policies naming 25077
25078Policies naming 25078
25085Policies naming 25085
25100Policies naming 25100
25101Policies naming 25101
25105Policies naming 25105
25107Policies naming 25107
25109Policies naming 25109
25110Policies naming 25110
25111Policies naming 25111
25112Policies naming 25112
25115Policies naming 25115
25116Policies naming 25116
25118Policies naming 25118
25120Policies naming 25120
25125Policies naming 25125
25126Policies naming 25126
25130Policies naming 25130
25135Policies naming 25135
25145Policies naming 25145
25150Policies naming 25150
25151Policies naming 25151
25210Policies naming 25210
25215Policies naming 25215
25230Policies naming 25230
25240Policies naming 25240
25259Policies naming 25259
25260Policies naming 25260
25265Policies naming 25265
25270Policies naming 25270
25272Policies naming 25272
25274Policies naming 25274
25275Policies naming 25275
25280Policies naming 25280
25290Policies naming 25290
25295Policies naming 25295
25310Policies naming 25310
25312Policies naming 25312
25320Policies naming 25320
25332Policies naming 25332
25337Policies naming 25337
25350Policies naming 25350
25360Policies naming 25360
25390Policies naming 25390
25394Policies naming 25394
25400Policies naming 25400
25405Policies naming 25405
25415Policies naming 25415
25425Policies naming 25425
25431Policies naming 25431

And 1,271 more in the original policy.

All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list

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.