Blue Shield of California prior authorization, page 7
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 |
|---|---|---|
| 57292 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57295 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57296 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57335 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57426 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 57530 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58150 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58152 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58180 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58200 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58210 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58240 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58260 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58262 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58263 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58267 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58270 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58275 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58280 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58285 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58290 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58291 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58292 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58294 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58541 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58542 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58543 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58544 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58548 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58550 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58552 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58553 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58554 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58555 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58570 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58571 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58572 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58573 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58661 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58720 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58940 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58951 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58953 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58954 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 58956 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 59525 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67900 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67901 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67902 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67903 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |