Talk to Us

Regence BlueCross BlueShield of Utah prior authorization, page 6

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
0943TDevices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
52284Devices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
52443Devices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
53855Devices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
53865Devices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
53866Devices for Treatment of Benign Prostatic Hyperplasia, Urethral Stricture, and Urethral StenosisCommercial Pre-authorization List, Pg 1 Original policy
S1034Insulin Infusion Pumps, Automated Insulin Delivery and Artificial Pancreas Device SystemsCommercial Pre-authorization List, Pg 1 Original policy
L6026Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6693Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6700Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6715Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6880Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6881Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6882Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6925Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6935Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6945Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6955Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6965Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L6975Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7007Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7008Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7009Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7045Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7180Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7181Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7190Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
L7191Myoelectric and Microprocessor Prosthetic and Orthotic Components for the Upper LimbCommercial Pre-authorization List, Pg 1 Original policy
97605Negative Pressure Wound Therapy in the Outpatient SettingCommercial Pre-authorization List, Pg 1 Original policy
97606Negative Pressure Wound Therapy in the Outpatient SettingCommercial Pre-authorization List, Pg 1 Original policy
E2402Negative Pressure Wound Therapy in the Outpatient SettingCommercial Pre-authorization List, Pg 1 Original policy
E0466Noninvasive Ventilators in the Home SettingCommercial Pre-authorization List, Pg 1 Original policy
E0625Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0627Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0629Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0630Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0635Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0636Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0639Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E0640Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E1035Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
E1036Patient Lifts and Seat LiftsCommercial Pre-authorization List, Pg 1 Original policy
K0848Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0849Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0850Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0851Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0852Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0853Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0854Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0855Power Wheelchairs: Group 2 and Group 3Commercial 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.

This website uses cookies to ensure you get the best experience on our website. Learn more