Prior authorization codes

Baylor Scott & White Health Plan

Active CPT codes that appear on the extracted prior authorization list for this health plan.

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
76502
1206 West Campus Drive | Temple, Texas
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93451
or )
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93452
congenital heart defects)
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93453
Combined right and left heart catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93454
Catheter placement in coronary artery(s) for coronary
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93455
Catheter placement in coronary artery(s) for coronary
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93456
Catheter placement in coronary artery(s) for coronary
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93457
Catheter placement in coronary artery(s) for coronary
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93458
Catheter placement in coronary artery(s) for coronary
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93459
angiography
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93460
angiography
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93461
angiography
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93530
(retired 1/1/2022; use codes Right heart catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93531
(retired 1/1/2022; use codes Combined right heart catheterization and retrograde left heart
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93532
or ), catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93533
(retired 1/1/2022, use codes Combined right heart catheterization and transseptal left heart
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93593
or )
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93594
or )
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93595
(created 1/1/2022 for Left heart catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93596
or ) catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...
93597
or ) catheterization
2024-11-01Not listed97%
[PDF] Codes modified on cardiac prior authorizations, effective November ...