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Regence BlueShield of Idaho prior authorization, page 7

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
K0856Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0857Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0858Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0859Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0860Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0861Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0862Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0863Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0864Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0820Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0821Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0822Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0823Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0824Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0825Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0826Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0827Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0828Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0829Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0830Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0831Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0835Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0836Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0837Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0838Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0839Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0840Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0841Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0842Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
K0843Power Wheelchairs: Group 2 and Group 3Commercial Pre-authorization List, Pg 1 Original policy
L5615Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and microprocessor-Controlled Knee- Ankle Foot OrthosesCommercial Pre-authorization List, Pg 1 Original policy
L5856Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and microprocessor-Controlled Knee- Ankle Foot OrthosesCommercial Pre-authorization List, Pg 1 Original policy
L5857Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and microprocessor-Controlled Knee- Ankle Foot OrthosesCommercial Pre-authorization List, Pg 1 Original policy
L5858Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and microprocessor-Controlled Knee- Ankle Foot OrthosesCommercial Pre-authorization List, Pg 1 Original policy
L0452Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0454Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0456Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0460Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0466Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0468Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0480Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0482Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0484Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0486Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0626Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0627Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0629Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0630Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0631Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial Pre-authorization List, Pg 1 Original policy
L0632Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCommercial 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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