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Blue Cross Blue Shield Oklahoma prior authorization, page 37

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
0676URARE DS WGSA MATERNAL CMPRTR2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0677URARE DS WGSA FETAL SAMPLE2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0678UONC HHM GENOME SEQ 117 GENES2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0679UONC HHM DNA ALYS >105 GENES2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0686UONC PRST8 MRNA GENE XPRSN 222026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0688UONC CLRCT CA ALYS MRD CTDNA2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0689UONC CLRT CA ALYS MRD PT-SPEC2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0690UTRNSPLJ MED AR DPCR ALYS 452026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0691UCARRIER SCREENING GSAP 6GENS2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0693UONC H&N CTDNA 699 GENES VRNT2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
0696UONC SO TGSA RNA ALYS 350/>2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
A9517Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 256 Original policy
A9530Iodine I-131 sodium iodide solution, therapeutic, per millicurie2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 257 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.

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