Regence BlueShield of Idaho prior authorization, page 37
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 |
|---|---|---|
| 30140 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30220 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30310 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30520 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30630 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30802 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 30930 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31200 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31205 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31526 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31535 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31536 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31541 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31545 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31571 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31574 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31575 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31576 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31578 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31591 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31611 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31622 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31624 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31625 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 31628 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36010 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36246 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36556 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36571 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36589 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 36590 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 37607 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38221 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38222 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38500 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38505 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38510 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38525 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38740 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 38760 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 41100 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 41105 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 41108 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 41113 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42335 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42408 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42410 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42415 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42420 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |
| 42440 | Surgical Site of Care - Hospital Outpatient | Commercial Pre-authorization List, Pg 1 Original policy |