Regence BlueShield of Washington prior authorization, page 38

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
Code	Description	Source
42810	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
42821	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
42826	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
42831	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
42870	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43191	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43195	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43200	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43217	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43220	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43226	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43227	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43229	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43232	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43233	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43235	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43237	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43239	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43244	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43245	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43248	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43249	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43250	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43251	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43253	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43254	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43259	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43260	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43266	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43450	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
43453	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44360	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44369	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44376	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44380	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44381	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
44386	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
45171	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
45172	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
45560	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
45990	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46040	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46060	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46080	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46200	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46220	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46221	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46230	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46255	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
46257	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy

Sources

Commercial Pre-authorization List