Regence BlueCross BlueShield of Utah prior authorization, page 44
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 |
|---|---|---|
| 33366 | Transcatheter Aortic-Valve Implantation for Aortic Stenosis | Commercial Pre-authorization List, Pg 1 Original policy |
| 0483T | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve Disorders | Commercial Pre-authorization List, Pg 1 Original policy |
| 0484T | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve Disorders | Commercial Pre-authorization List, Pg 1 Original policy |
| 0569T | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve Disorders | Commercial Pre-authorization List, Pg 1 Original policy |
| 0570T | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve Disorders | Commercial Pre-authorization List, Pg 1 Original policy |
| 0646T | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve Disorders | Commercial Pre-authorization List, Pg 1 Original policy |
| 69714 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69710 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69716 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69717 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69719 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69726 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69729 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 69730 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| L8690 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| L8691 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| L8692 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| L8694 | Transcutaneous Bone Conduction and Bone-Anchored Hearing Aids | Commercial Pre-authorization List, Pg 1 Original policy |
| 43192 | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease (GERD) | Commercial Pre-authorization List, Pg 1 Original policy |
| 43201 | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease (GERD) | Commercial Pre-authorization List, Pg 1 Original policy |
| 43236 | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease (GERD) | Commercial Pre-authorization List, Pg 1 Original policy |
| E0735 | Vagus Nerve Stimulation | Commercial Pre-authorization List, Pg 1 Original policy |
| 0524T | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36465 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36466 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36470 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36471 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36475 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36476 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36478 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36479 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36482 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 36483 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37700 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37718 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37722 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37735 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37760 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37761 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37765 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37766 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37780 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 37785 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| S2202 | Varicose Vein Treatment | Commercial Pre-authorization List, Pg 1 Original policy |
| 38242 | Transplants - Stem Cell | Commercial Pre-authorization List, Pg 1 Original policy |
| S2140 | Transplants - Stem Cell | Commercial Pre-authorization List, Pg 1 Original policy |
| S2142 | Transplants - Stem Cell | Commercial Pre-authorization List, Pg 1 Original policy |
| S2150 | Transplants - Stem Cell | Commercial Pre-authorization List, Pg 1 Original policy |
| 48160 | Transplants - Islet Transplantation | Commercial Pre-authorization List, Pg 1 Original policy |
| 0584T | Transplants - Islet Transplantation | Commercial Pre-authorization List, Pg 1 Original policy |