CareFirst Blue Cross Blue Shield Maryland policy

Durable Medical Equipment Which Require Pre-Authorization

Durable Medical Equipment Which Require Pre-Authorization is a public CareFirst Blue Cross Blue Shield Maryland policy (policy cut0313 1e, effective Aug 1, 2023). It lists 289 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
CareFirst Blue Cross Blue Shield Maryland
Policy number
cut0313 1e
Effective
Aug 1, 2023
Line of business
Commercial
Source
provider.carefirst.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther CareFirst Blue Cross Blue Shield Maryland policies
0616TPolicies naming 0616T
0617TPolicies naming 0617T
0618TPolicies naming 0618T
99500Policies naming 99500
99602Policies naming 99602
A9900Policies naming A9900
A9999Policies naming A9999
E0194Policies naming E0194
E0202Policies naming E0202
E0203Policies naming E0203
E0483Policies naming E0483
E0485Policies naming E0485
E0486Policies naming E0486
E0617Policies naming E0617
E0619Policies naming E0619
E0627Policies naming E0627
E0637Policies naming E0637
E0638Policies naming E0638
E0641Policies naming E0641
E0693Policies naming E0693
E0694Policies naming E0694
E0720Policies naming E0720
E0730Policies naming E0730
E0731Policies naming E0731
E0747Policies naming E0747
E0748Policies naming E0748
E0760Policies naming E0760
E0762Policies naming E0762
E0764Policies naming E0764
E0766Policies naming E0766
E0770Policies naming E0770
E0983Policies naming E0983
E0984Policies naming E0984
E0986Policies naming E0986
E1002Policies naming E1002
E1003Policies naming E1003
E1004Policies naming E1004
E1005Policies naming E1005
E1006Policies naming E1006
E1007Policies naming E1007
E1008Policies naming E1008
E1009Policies naming E1009
E1010Policies naming E1010
E1011Policies naming E1011
E1012Policies naming E1012
E1016Policies naming E1016
E1018Policies naming E1018
E1230Policies naming E1230
E1399Policies naming E1399
E1700Policies naming E1700
E1800Policies naming E1800
E1801Policies naming E1801
E1802Policies naming E1802
E1805Policies naming E1805
E1806Policies naming E1806
E1810Policies naming E1810
E1811Policies naming E1811
E1812Policies naming E1812
E1815Policies naming E1815
E1816Policies naming E1816
E1820Policies naming E1820
E1825Policies naming E1825
E1830Policies naming E1830
E1840Policies naming E1840
E1841Policies naming E1841
E2298Policies naming E2298
E2300Policies naming E2300
E2301Policies naming E2301
E2310Policies naming E2310
E2311Policies naming E2311
E2312Policies naming E2312
E2313Policies naming E2313
E2321Policies naming E2321
E2322Policies naming E2322
E2323Policies naming E2323
E2324Policies naming E2324
E2325Policies naming E2325
E2326Policies naming E2326
E2327Policies naming E2327
E2328Policies naming E2328
E2329Policies naming E2329
E2330Policies naming E2330
E2331Policies naming E2331
E2340Policies naming E2340
E2341Policies naming E2341
E2342Policies naming E2342
E2343Policies naming E2343
E2351Policies naming E2351
E2358Policies naming E2358
E2359Policies naming E2359
E2360Policies naming E2360
E2361Policies naming E2361
E2362Policies naming E2362
E2363Policies naming E2363
E2364Policies naming E2364
E2365Policies naming E2365
E2366Policies naming E2366
E2367Policies naming E2367
E2368Policies naming E2368
E2369Policies naming E2369
E2370Policies naming E2370
E2371Policies naming E2371
E2372Policies naming E2372
E2373Policies naming E2373
E2374Policies naming E2374
E2375Policies naming E2375
E2376Policies naming E2376
E2377Policies naming E2377
E2378Policies naming E2378
E2381Policies naming E2381
E2382Policies naming E2382
E2383Policies naming E2383
E2384Policies naming E2384
E2385Policies naming E2385
E2386Policies naming E2386
E2387Policies naming E2387
E2388Policies naming E2388
E2389Policies naming E2389
E2390Policies naming E2390
E2391Policies naming E2391
E2392Policies naming E2392
E2394Policies naming E2394
E2395Policies naming E2395
E2396Policies naming E2396
E2397Policies naming E2397
E2399Policies naming E2399
E2510Policies naming E2510
E2610Policies naming E2610
E8000Policies naming E8000
E8001Policies naming E8001
K0010Policies naming K0010
K0011Policies naming K0011
K0012Policies naming K0012
K0013Policies naming K0013
K0014Policies naming K0014
K0098Policies naming K0098
K0108Policies naming K0108
K0606Policies naming K0606
K0733Policies naming K0733
K0800Policies naming K0800
K0801Policies naming K0801
K0802Policies naming K0802
K0806Policies naming K0806
K0807Policies naming K0807
K0808Policies naming K0808
K0812Policies naming K0812
K0813Policies naming K0813
K0814Policies naming K0814
K0815Policies naming K0815
K0816Policies naming K0816
K0820Policies naming K0820
K0821Policies naming K0821
K0822Policies naming K0822
K0823Policies naming K0823
K0824Policies naming K0824
K0825Policies naming K0825
K0826Policies naming K0826
K0827Policies naming K0827
K0828Policies naming K0828
K0829Policies naming K0829
K0830Policies naming K0830
K0831Policies naming K0831
K0835Policies naming K0835
K0836Policies naming K0836
K0837Policies naming K0837
K0838Policies naming K0838
K0839Policies naming K0839
K0840Policies naming K0840
K0841Policies naming K0841
K0842Policies naming K0842
K0843Policies naming K0843
K0848Policies naming K0848
K0849Policies naming K0849
K0850Policies naming K0850
K0851Policies naming K0851
K0852Policies naming K0852
K0853Policies naming K0853
K0854Policies naming K0854
K0855Policies naming K0855
K0856Policies naming K0856
K0857Policies naming K0857
K0858Policies naming K0858
K0859Policies naming K0859
K0860Policies naming K0860
K0861Policies naming K0861
K0862Policies naming K0862
K0863Policies naming K0863
K0864Policies naming K0864
K0868Policies naming K0868
K0869Policies naming K0869
K0870Policies naming K0870
K0871Policies naming K0871
K0877Policies naming K0877
K0878Policies naming K0878
K0879Policies naming K0879
K0880Policies naming K0880
K0884Policies naming K0884
K0885Policies naming K0885
K0886Policies naming K0886
K0890Policies naming K0890
K0891Policies naming K0891
K0898Policies naming K0898
K0899Policies naming K0899
K1014Policies naming K1014
K1022Policies naming K1022
L2006Policies naming L2006
L5856Policies naming L5856
L5973Policies naming L5973
L5999Policies naming L5999
L7900Policies naming L7900
L8042Policies naming L8042
L8499Policies naming L8499
L8614Policies naming L8614
L8616Policies naming L8616
L8619Policies naming L8619
L8628Policies naming L8628
L8681Policies naming L8681
L8690Policies naming L8690
L8691Policies naming L8691
L8699Policies naming L8699
L8701Policies naming L8701
L8702Policies naming L8702
S1040Policies naming S1040
S8262Policies naming S8262
S9123Policies naming S9123
S9124Policies naming S9124
S9434Policies naming S9434
S9435Policies naming S9435
V2623Policies naming V2623
V2624Policies naming V2624
V2626Policies naming V2626
V2628Policies naming V2628
V5011Policies naming V5011
V5020Policies naming V5020
V5030Policies naming V5030
V5040Policies naming V5040
V5050Policies naming V5050
V5060Policies naming V5060
V5070Policies naming V5070
V5080Policies naming V5080
V5090Policies naming V5090
V5100Policies naming V5100
V5110Policies naming V5110
V5120Policies naming V5120
V5130Policies naming V5130
V5140Policies naming V5140
V5150Policies naming V5150
V5160Policies naming V5160
V5171Policies naming V5171
V5172Policies naming V5172
V5181Policies naming V5181
V5190Policies naming V5190
V5200Policies naming V5200
V5211Policies naming V5211
V5212Policies naming V5212
V5213Policies naming V5213
V5214Policies naming V5214
V5215Policies naming V5215
V5221Policies naming V5221
V5230Policies naming V5230
V5240Policies naming V5240
V5241Policies naming V5241
V5242Policies naming V5242
V5243Policies naming V5243
V5244Policies naming V5244
V5245Policies naming V5245
V5246Policies naming V5246
V5247Policies naming V5247
V5248Policies naming V5248
V5249Policies naming V5249
V5250Policies naming V5250
V5251Policies naming V5251
V5252Policies naming V5252
V5253Policies naming V5253
V5254Policies naming V5254
V5255Policies naming V5255
V5256Policies naming V5256
V5257Policies naming V5257
V5258Policies naming V5258
V5259Policies naming V5259
V5260Policies naming V5260
V5261Policies naming V5261
V5264Policies naming V5264
V5265Policies naming V5265
V5267Policies naming V5267
V5274Policies naming V5274
V5275Policies naming V5275
V5298Policies naming V5298
V5299Policies naming V5299

All CareFirst Blue Cross Blue Shield Maryland policies

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.