Prior authorization codes

BlueCross BlueShield of Tennessee

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

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
12345
Any Town, TN Big City, TN
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee
37402
1 Cameron Hill Circle | Chattanooga, TN | bcbst.com
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee
54321
Any Town, TN Big City, TN
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee
96161
same CPT® code and will be reimbursed at $225. You can complete the ePAFs electronically in the Quality Care Rewards
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee
97110
• 23 minutes of therapeutic exercise, CPT® code
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee
97112
CPT® code
2023-06-01Not listed97%
[PDF] BlueAlertSM - BlueCross BlueShield of Tennessee