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Regence BlueCross BlueShield of Utah prior authorization, page 29

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
43647Gastric Electrical StimulationCommercial Pre-authorization List, Pg 1 Original policy
43881Gastric Electrical StimulationCommercial Pre-authorization List, Pg 1 Original policy
64590Gastric Electrical StimulationCommercial Pre-authorization List, Pg 1 Original policy
E0765Gastric Electrical StimulationCommercial Pre-authorization List, Pg 1 Original policy
43279Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43280Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43281Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43282Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43325Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43327Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43328Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43332Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43333Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43334Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43335Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43336Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
43337Gastroesophageal Reflux SurgeryCommercial Pre-authorization List, Pg 1 Original policy
64568Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
64582Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
64583Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
C8007Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
C8008Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
C8011Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
C8012Hypoglossal Nerve StimulationCommercial Pre-authorization List, Pg 1 Original policy
58150HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58152HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58180HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58260HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58262HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58267HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58270HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58275HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58280HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58290HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58291HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58292HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58294HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58541HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58542HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58543HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58544HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58550HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58552HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58553HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58554HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58570HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58571HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58572HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
58573HysterectomyCommercial Pre-authorization List, Pg 1 Original policy
64596Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field StimulationCommercial 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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