Regence BlueCross BlueShield of Oregon prior authorization, page 40

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
52332Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52351Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52352Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52353Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52356Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52450Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52500Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52601Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
52630Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
53270Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
53440Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
53445Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54161Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54162Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54163Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54164Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54300Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54530Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54620Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54640Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54700Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54830Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54840Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
54860Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55040Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55060Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55250Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55400Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55520Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
55540Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
56440Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
56620Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
56700Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
56740Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
56810Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57061Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57130Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57135Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57240Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57250Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57260Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57283Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57287Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57300Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57400Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57410Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57454Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57500Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57520Surgical Site of Care - Hospital OutpatientCommercial Pre-authorization List, Pg 1 Original policy
57522Surgical 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.