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Peach State Health Plan prior authorization, page 59

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
A2007Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2008Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2009Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2010Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2011Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2012Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2013Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2014Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2015Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2016Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2017Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2018Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2019Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2020Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2021Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2022Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2023Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2024Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2025Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2026Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2027Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2028Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2029Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2030Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2031Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2032Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2033Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2034Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2035Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2036Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2037Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2038Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
A2039Skin graftCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
17340Wound Repair & Destruction of LesionsCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
17360Wound Repair & Destruction of LesionsCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
17380Wound Repair & Destruction of LesionsCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
17999Wound Repair & Destruction of LesionsCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0006MGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0015MGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0016MGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0019MGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0020MGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
0341TGenetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81105Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81106Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81107Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81108Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81109Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81110Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 Original policy
81111Genetic and Molecular TestingCMS Final Rule 0057-F Prior Authorization Requirements, Pg 12 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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