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Regence BlueShield of Washington prior authorization, page 22

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
G0151Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0152Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0157Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0158Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0159Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0160Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
G0283Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S8950Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S9128Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S9129Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S9131Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S9152Physical therapy, speech therapy, occupational therapy (PT/ST/OT)Commercial Pre-authorization List, Pg 1 Original policy
S8092Computed Tomography to Detect Coronary Artery CalcificationCommercial Pre-authorization List, Pg 1 Original policy
91110Wireless Capsule Endoscopy for Gastrointestinal (GI) DisordersCommercial Pre-authorization List, Pg 1 Original policy
70336Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70450Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70460Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70470Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70471Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70473Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70480Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70481Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70482Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70486Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70487Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70488Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70490Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70491Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70492Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70496Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70498Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70540Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70542Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70543Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70544Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70545Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70546Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70547Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70548Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70549Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70551Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70552Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70553Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70554Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
70555Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
71250Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
71260Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
71270Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
71271Carelon RadiologyCommercial Pre-authorization List, Pg 1 Original policy
71275Carelon 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.

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