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Peach State Health Plan 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

Prior authorization codes
CodeDescriptionSource
36473Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
36475Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
36478Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37500Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37501Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37700Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37718Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37722Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37735Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37760Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37761Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37765Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37766Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37780Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37785Varicose vein stripping, lower limbCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
37799Vascular Repairs, Open Trauma, and LigationCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
C9781Vascular Repairs, Open Trauma, and LigationCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
C9797Vascular Repairs, Open Trauma, and LigationCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
0731TConsultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
0740TConsultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
0741TConsultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
0794TConsultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
0893TConsultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
93797Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
93798Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
97802Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99183Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99199Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99381Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99382Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99383Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99384Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99385Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99386Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99387Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99391Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99392Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99393Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99394Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99395Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99396Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99397Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99424Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99425Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99426Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99427Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
99437Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
G0136Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
G0248Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 Original policy
G0249Consultation, evaluation, and preventative careCMS Final Rule 0057-F Prior Authorization Requirements, Pg 4 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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