Talk to Us

Peach State Health Plan 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

Prior authorization codes
CodeDescriptionSource
33536Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
S2205Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
S2206Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
S2207Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
S2208Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
S2209Coronary artery bypass graft (CABG)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35302Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35303Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35304Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35305Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35371Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
35372Embolectomy and EndarterectomyCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
0483THeart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
0484THeart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33340Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33361Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33362Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33363Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33364Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33365Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33366Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33367Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33368Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33369Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33370Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33405Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33406Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33410Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33411Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33412Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33413Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33418Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33419Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33430Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33440Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33465Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33475Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33477Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33509Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33572Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33894Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33930Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33933Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33935Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33940Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33944Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
33945Heart valve proceduresCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
0571TInsertion, revision, replacement, removal of cardiac pacemaker/DefibrillatorCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
0572TInsertion, revision, replacement, removal of cardiac pacemaker/DefibrillatorCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy
0573TInsertion, revision, replacement, removal of cardiac pacemaker/DefibrillatorCMS Final Rule 0057-F Prior Authorization Requirements, Pg 3 Original policy

Sources

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.

This website uses cookies to ensure you get the best experience on our website. Learn more