Blue Shield of California prior authorization, page 4
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
| Code | Description | Source |
|---|---|---|
| 19350 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 19355 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 19357 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 19370 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 19371 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21085 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21087 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21088 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21089 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21110 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21120 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21121 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21122 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21123 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21125 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21127 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21137 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21138 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21141 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21142 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21143 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21145 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21146 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21147 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21150 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21151 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21154 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21155 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21159 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21160 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21188 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21193 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21194 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21195 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21196 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21198 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21199 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21206 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21208 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21209 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21210 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21215 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21230 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21247 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21270 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21299 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21600 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21685 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 21899 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 27130 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |