Talk to Us

Peach State Health Plan prior authorization, page 95

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
21263General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21267General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21268General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21270General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21275General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21280General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21282General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21295General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21296General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21299General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21499General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21603General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21685General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21740General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21742General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21743General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
21899General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22101General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22102General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22103General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22110General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22112General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22114General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22116General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22220General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22222General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22224General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22526General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22527General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22532General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22856General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22857General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22858General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22860General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22861General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22862General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22864General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22865General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
22999General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
23120General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
23125General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
23130General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
23700General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
23929General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
24363General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
24366General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
24370General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
24371General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
24999General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 Original policy
25332General Orthopedics, Trauma, & Fracture TreatmentCMS Final Rule 0057-F Prior Authorization Requirements, Pg 17 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