Prior authorization codes
CareSource
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 20201 | Washington, D.C | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 2310B | • Loop – Rendering provider name | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 45401 | Dayton, OH -8738 | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 45420 | Dayton, OH -0036 | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 84999 | Any information that would assist in determining the service rendered. For example, is an | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 89102 | Las Vegas, NV | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 89521 | Reno, Nevada | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| 89701 | Carson City, NV | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| J3490 | • Provider administered drugs that do not have specific HCPCS code ( through ) and any | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |
| J3999 | • Provider administered drugs that do not have specific HCPCS code ( through ) and any | 2026-07-06 | Not listed | 97% | [PDF] Nevada Medicaid - Provider Manual - CareSource |