Blue Shield of California prior authorization, page 12

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
Q4179Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4180Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4181Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4182Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4183Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4184Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4185Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4187Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4188Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4189Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4190Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4191Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4192Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4193Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4194Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4195Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4196Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4197Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4198Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4199Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4200Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4201Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4202Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4203Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4204Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4205Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4206Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4208Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4209Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4211Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4212Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4213Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4214Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4215Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4216Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4217Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4218Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4219Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4220Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4221Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4222Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4224Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4225Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4226Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4227Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4229Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4230Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4232Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4233Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4234Medicare 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.