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Peach State Health Plan prior authorization, page 44

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
L8030Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8035Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8605Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8614Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8615Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8618Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8619Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8625Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8678Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8690Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8691Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8692Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8693Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8694Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8699Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L8720Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
L9900Orthotics, Prosthetics, and OPPS DevicesCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
0881TDiagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
0951TDiagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
0978TDiagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
0979TDiagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
0980TDiagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30130Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30140Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30520Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30540Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30545Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30620Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30801Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30802Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
30999Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31240Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31253Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31254Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31255Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31256Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31257Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31259Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31267Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31276Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31287Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31288Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31295Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31296Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31297Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31298Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
31299Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
40899Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
41599Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 Original policy
41899Diagnostic procedures on nose, mouth, pharynx, and earCMS Final Rule 0057-F Prior Authorization Requirements, Pg 9 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.

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