Regence BlueCross BlueShield of Utah prior authorization, page 33

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
Code	Description	Source
23515	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
23550	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
23615	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
23630	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24006	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24071	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24073	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24075	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24076	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24105	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24130	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24341	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24342	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24343	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24357	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24358	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24359	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24505	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24530	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24575	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24605	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24665	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24666	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
24685	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25000	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25071	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25073	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25075	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25076	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25111	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25112	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25118	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25120	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25130	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25210	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25215	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25240	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25295	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25320	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25390	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25447	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25505	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25515	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25545	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25574	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25575	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25607	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25608	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25609	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
25628	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy

Sources

Commercial Pre-authorization List