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Regence BlueCross BlueShield of Utah prior authorization, page 27

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
95805Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
95807Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
95808Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
95810Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
95811Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
E0470Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
E0471Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
E0561Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
E0562Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
E0601Carelon Sleep MedicineCommercial Pre-authorization List, Pg 1 Original policy
47370Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
47371Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
47380Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
47381Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
47382Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
47383Ablation of Primary and Metastatic Liver TumorsCommercial Pre-authorization List, Pg 1 Original policy
15734Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49591Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49593Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49595Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49613Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49615Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49617Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
49621Anterior Abdominal Wall (Including Incisional) Hernia RepairCommercial Pre-authorization List, Pg 1 Original policy
27412Autologous Chondrocyte Implantation for Focal Articular Cartilage LesionsCommercial Pre-authorization List, Pg 1 Original policy
J7330Autologous Chondrocyte Implantation for Focal Articular Cartilage LesionsCommercial Pre-authorization List, Pg 1 Original policy
S2112Autologous Chondrocyte Implantation for Focal Articular Cartilage LesionsCommercial Pre-authorization List, Pg 1 Original policy
69705Balloon Dilation of the Eustachian TubeCommercial Pre-authorization List, Pg 1 Original policy
69706Balloon Dilation of the Eustachian TubeCommercial Pre-authorization List, Pg 1 Original policy
31295Balloon Ostial Dilation for Treatment of SinusitisCommercial Pre-authorization List, Pg 1 Original policy
31296Balloon Ostial Dilation for Treatment of SinusitisCommercial Pre-authorization List, Pg 1 Original policy
31297Balloon Ostial Dilation for Treatment of SinusitisCommercial Pre-authorization List, Pg 1 Original policy
31298Balloon Ostial Dilation for Treatment of SinusitisCommercial Pre-authorization List, Pg 1 Original policy
43644Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43771Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43772Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43773Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43774Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43775Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43820Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43845Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43846Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43848Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43860Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43886Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43887Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
43888Bariatric surgeryCommercial Pre-authorization List, Pg 1 Original policy
52597Benign Prostatic Hyperplasia Surgical TreatmentsCommercial Pre-authorization List, Pg 1 Original policy
53854Benign Prostatic Hyperplasia Surgical TreatmentsCommercial Pre-authorization List, Pg 1 Original policy
C2596Benign Prostatic Hyperplasia Surgical TreatmentsCommercial 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.

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