Prior authorization codes
CalViva Health
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 0457U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0459U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0462U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0468U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0472U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0577U | Proprietary laboratory analyses Includes the following CPT® codes | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0579U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0591U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0596U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0598U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0599U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0615U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |
| 0641U | Prosthetics X | 2026-04-01 | 2026-05-20 | 97% | [PDF] Prior Authorization Requirements - CalViva Health |