Blue Shield of California prior authorization, page 13

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
Q4235Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4236Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4237Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4238Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4239Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4240Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4241Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4242Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4245Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4246Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4247Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4248Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4249Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4250Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4251Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4261Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4262Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4263Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4264Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4265Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4266Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4267Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4268Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4269Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4270Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4271Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4272Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4273Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4274Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4275Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4276Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4278Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4279Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4280Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4281Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4282Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4283Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4284Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4285Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4286Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4287Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4288Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4289Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4290Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 3 Original policy
Q4291Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 Original policy
Q4292Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 Original policy
Q4293Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 Original policy
Q4294Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 Original policy
Q4295Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 Original policy
Q4296Medicare Medical Code ListPrior Authorization List for Blue Shield Medicare, Pg 4 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.