Regence BlueCross BlueShield of Oregon prior authorization, page 34

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
25825Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26020Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26055Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26070Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26080Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26110Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26111Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26113Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26115Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26121Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26123Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26145Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26160Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26210Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26236Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26350Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26356Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26370Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26410Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26418Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26440Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26480Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26500Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26525Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26540Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26541Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26608Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26615Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26665Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26727Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26735Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26746Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26756Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26765Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26841Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26850Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26860Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26862Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26951Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
26952Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27043Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27045Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27047Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27048Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27062Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27310Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27323Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27327Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27328Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
27329Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 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.