Blue Cross and Blue Shield of Texas policy
Pediatric Preventive Screening
Pediatric Preventive Screening is a public Blue Cross and Blue Shield of Texas policy (policy RPLAB016, effective Sep 4, 2026). It lists 22 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- RPLAB016
- Effective
- Sep 4, 2026
- 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.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 0257U | Policies naming 0257U |
| 80061 | Policies naming 80061 |
| 82247 | Policies naming 82247 |
| 82248 | Policies naming 82248 |
| 82465 | Policies naming 82465 |
| 83020 | Policies naming 83020 |
| 83021 | Policies naming 83021 |
| 83655 | Policies naming 83655 |
| 83718 | Policies naming 83718 |
| 84439 | Policies naming 84439 |
| 84443 | Policies naming 84443 |
| 84478 | Policies naming 84478 |
| 85014 | Policies naming 85014 |
| 85018 | Policies naming 85018 |
| 86480 | Policies naming 86480 |
| 86481 | Policies naming 86481 |
| 86580 | Policies naming 86580 |
| 86850 | Policies naming 86850 |
| 87555 | Policies naming 87555 |
| 87556 | Policies naming 87556 |
| 88720 | Policies naming 88720 |
| S3620 | Policies naming S3620 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list