Regence BlueCross BlueShield of Utah prior authorization, page 15
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
| Code | Description | Source |
|---|---|---|
| 22512 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 22513 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 22514 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 22515 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 27096 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 61790 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 61791 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62290 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62291 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62320 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62321 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62322 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62323 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62324 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62325 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62326 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62327 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62350 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62351 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62360 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62361 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 62362 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 63650 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 63655 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 63685 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64405 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64479 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64480 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64483 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64484 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64490 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64491 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64492 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64493 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64494 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64495 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64510 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64520 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64633 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64634 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64635 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 64636 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 72285 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 72295 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| G0259 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| G0260 | Pain management | Commercial Pre-authorization List, Pg 1 Original policy |
| 23470 | Joint management | Commercial Pre-authorization List, Pg 1 Original policy |
| 23472 | Joint management | Commercial Pre-authorization List, Pg 1 Original policy |
| 23473 | Joint management | Commercial Pre-authorization List, Pg 1 Original policy |
| 23474 | Joint management | Commercial Pre-authorization List, Pg 1 Original policy |