Regence BlueShield of Washington prior authorization, page 41

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
57530	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
57700	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
57720	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
57800	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58100	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58120	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58300	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58301	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58555	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58558	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58559	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58560	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58561	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58565	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58662	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58670	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
58671	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
62270	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
63661	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
63663	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64600	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64647	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64702	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64718	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64719	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64721	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64774	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64782	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64784	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64788	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
64831	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65400	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65426	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65435	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65436	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65730	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65756	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65772	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65779	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65780	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65815	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65820	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
65855	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66020	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66170	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66179	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66180	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66184	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66185	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy
66250	Surgical Site of Care - Hospital Outpatient	Commercial Pre-authorization List, Pg 1 Original policy

Sources

Commercial Pre-authorization List