Prior authorization codes
Blue Cross and Blue Shield of Kansas
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 81406 | variants in the RPE65 gene. ( MOLECULAR PATHOLOGY | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| 90736 | The Zostavax vaccine is billed using CPT code and the Shingrix | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| 90750 | vaccine is billed using CPT code . Blue KC provides reimbursement | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| Q4176 | o NeoPatch, per sq cm | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| Q4178 | o FlowerAmnioPatch, per sq cm | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| Q4180 | o Revita, per sq cm | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |
| Q4181 | o Amnio Wound, per sq cm | 2017-07-01 | Not listed | 97% | [PDF] BLUE KC Authorization Required for Provider Appeals on Behalf of ... |