Regence BlueShield of Idaho prior authorization, page 20
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 |
|---|---|---|
| 63170 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63172 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63173 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63185 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63190 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63191 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63197 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63200 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63250 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63251 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63252 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63265 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63266 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63267 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63268 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63270 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63271 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63272 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63273 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63275 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63276 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63277 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63278 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63280 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63281 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63282 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63283 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63285 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63286 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63287 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63290 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63295 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63300 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63301 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63302 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63303 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63304 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63305 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63306 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63307 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 63308 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| S2350 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| S2351 | Spine | Commercial Pre-authorization List, Pg 1 Original policy |
| 92507 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92508 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92521 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92522 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92523 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92524 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |
| 92526 | Physical therapy, speech therapy, occupational therapy (PT/ST/OT) | Commercial Pre-authorization List, Pg 1 Original policy |