Blue Shield of California prior authorization, page 6
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 |
|---|---|---|
| 43770 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43771 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43772 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43773 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43774 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43775 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43842 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43843 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43845 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43846 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43847 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43848 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43860 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43865 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43886 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43887 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43888 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 43999 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 51925 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 53410 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 53430 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54125 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54400 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54401 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54405 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54406 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54408 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54410 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54411 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54415 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54416 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54417 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54520 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54660 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 54690 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 55150 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 55175 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 55180 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 55970 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 55980 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 56620 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 56625 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 56800 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 56805 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 56810 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57106 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57107 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57110 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57111 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57291 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |