Peach State Health Plan prior authorization, page 82

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
J7527Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7599Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7601Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7639Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7677Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7682Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7686Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J7699Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8499Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8510Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8522Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8530Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8541Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8560Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8562Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8565Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8600Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8611Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8612Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8700Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J8705Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9000Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9011Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9015Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9017Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9019Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9020Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9021Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9022Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9023Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9024Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9025Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9026Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9027Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9028Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9029Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9030Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9032Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9033Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9034Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9035Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9036Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9038Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9039Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9040Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9041Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9042Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9043Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9045Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 Original policy
J9046Medications (Injections, infusions and other forms)CMS Final Rule 0057-F Prior Authorization Requirements, Pg 15 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.