Blue Shield of California prior authorization, page 11

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
Q4125Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4126Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4127Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4128Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4130Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4132Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4133Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4134Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4135Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4136Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4137Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4138Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4139Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4140Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4141Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4142Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4143Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4145Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4146Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4147Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4148Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4149Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4150Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4151Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4152Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4153Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4154Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4155Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4156Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4157Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4158Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4159Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4160Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4161Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4162Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4163Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4164Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4165Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4166Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4167Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4168Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4169Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4170Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4171Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4173Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4174Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4175Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4176Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4177Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4178Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 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.