Blue Shield of California prior authorization, page 8
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 |
|---|---|---|
| 67904 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67906 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67908 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 67909 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 81162 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 81223 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 2 Original policy |
| 81406 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 81415 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 81416 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 81479 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92507 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92508 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92920 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92924 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92928 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92933 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92937 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92941 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 92943 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93241 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93242 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93243 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93244 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93245 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93246 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93247 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93248 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93268 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93270 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93271 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93272 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93287 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93454 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93455 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93456 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93457 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93458 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93459 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93460 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93461 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 93656 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 95810 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 95811 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 97799 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| 99183 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| A0426 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| A0428 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| A2001 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| A2002 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |
| A2004 | Medicare Medical Code List | Prior Authorization List for Blue Shield Medicare, Pg 3 Original policy |