Regence BlueShield of Idaho prior authorization, page 25

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
78216Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78226Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78227Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78230Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78231Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78232Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78258Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78261Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78262Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78264Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78265Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78266Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78278Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78290Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78291Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78300Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78305Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78306Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78315Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78429Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78430Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78431Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78432Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78433Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78445Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78451Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78452Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78453Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78454Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78456Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78457Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78458Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78459Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78466Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78468Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78469Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78472Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78473Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78481Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78483Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78491Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78492Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78494Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78579Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78580Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78582Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78597Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78598Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78600Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
78601Carelon RadiologyCommercial 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.