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Regence BlueCross BlueShield of Utah prior authorization, page 5

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
L5611Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5613Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5614Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5616Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5700Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5701Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5702Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5703Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5710Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5711Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5712Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5714Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5716Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5718Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5722Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5724Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5726Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5728Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5780Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5810Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5811Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5812Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5814Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5816Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5818Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5822Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5824Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5826Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5828Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5830Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5840Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5841Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5848Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5930Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5968Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5970Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5972Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5974Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5976Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5978Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5979Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5980Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5981Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5982Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5984Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5985Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5986Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
L5987Definitive Lower Limb ProsthesesCommercial Pre-authorization List, Pg 1 Original policy
0941TDevices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
0942TDevices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial 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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