Prior authorization codes
CenCal Health
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 10123 | Form CMS- , to the member no later than two (2) calendar days before the | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 1128J | the amount. According to Section (d) of the Social Security Act, a provider must | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 14043 | Code section .1(i) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 14059 | Section .5(b)(1) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 14132 | (v) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 23450 | Virginia Beach, VA | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 27446 | Joint Replacement Surgery | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 27447 | Joint Replacement Surgery | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33206 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33207 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33208 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33212 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33213 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33214 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33221 | Pacemakers | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33227 | Implant Procedure Associated CPT Procedure Codes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33228 | Implant Procedure Associated CPT Procedure Codes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33229 | Implant Procedure Associated CPT Procedure Codes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33230 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33231 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33240 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33249 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33262 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33263 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33264 | Defibrillators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33270 | Implant Procedure Associated CPT Procedure Codes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33271 | Implant Procedure Associated CPT Procedure Codes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33282 | Cardiac Event Recorders | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 33536 | https://publications.aap.org/pediatrics/article/146/6/e2020034637/ /Fluoride-Use | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51215 | standard specified in 22 CCR § (except that the distinct part of a hospital does | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51301 | Section . Services to be rendered are subject to exclusions, limitations, exceptions | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51303 | Title 22 CCR, Section (a), CenCal Health Contract 08- , Exhibit E, Attachment | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51308 | California Code of Regulations [CCR], Title 22, Section ) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51309 | be in accordance with the California Code of Regulations (22 CCR , Psychology | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51315 | Code of Regulations (22 CCR ) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51319 | and according to the California Code of Regulations (22 CCR ) for Hearing Aids | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51321 | authorized per California law (California Code of Regulations - 22 CCR ), are | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51335 | and any or all attachments to Exhibit A and in the Member’s Evidence of | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 51348 | standards per 22 CCR section . The results of the risk assessment must be | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 53210 | for non-covered services provided pursuant to 22 CCR section (d). Even in the | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 53220 | required to comply with 22 CCR sections , , and with regard to the | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 53222 | required to comply with 22 CCR sections , , and with regard to the | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 53866 | required to comply with 22 CCR sections , , and with regard to the | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59400 | Obstetrical care , , , Prenatal care: Z34.0–Z34.93 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59409 | • CPT -XP – Doula support during vaginal delivery only | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59510 | Obstetrical care , , , Prenatal care: Z34.0–Z34.93 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59610 | Obstetrical care , , , Prenatal care: Z34.0–Z34.93 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59612 | • CPT -XP – Doula support during vaginal delivery after previous caesarean | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59618 | (for normal pregnancies) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59620 | • CPT -XP – Doula support during caesarean section | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 59840 | • CPT -XP – Doula support during or after abortion | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 61885 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 61886 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 62360 | Infusion Pumps | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 62361 | Infusion Pumps | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 62362 | Infusion Pumps | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 63650 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 63663 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 63664 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 63665 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 63685 | Neurostimulators | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 64568 | and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 64575 | and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 64580 | and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 64581 | and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 64590 | and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 69930 | Cochlear Implants | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 83655 | procedure code | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 85212 | Title 22 CCR, Section (a), CenCal Health Contract 08- , Exhibit E, Attachment | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90785 | Interactive Complexity | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90791 | Psychiatric Diagnostic Evaluation without medical services | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90792 | Psychiatric Diagnostic Evaluation with medical services | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90832 | provider using and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90834 | Psychotherapy, 45 min | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90837 | provider using and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90839 | Psychotherapy for crisis, first 60 min | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90846 | Family Psychotherapy (without client present) 50 min | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90847 | Family Psychotherapy (with client present) 50 min | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90849 | Psychotherapy for crisis, each additional 30 min | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90853 | Group psychotherapy | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 90880 | Hypnotherapy | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 92004 | or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 92014 | or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 92590 | Routine Hearing Exam or $115.11 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 92591 | Routine Hearing Exam or $115.11 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 93110 | Santa Barbara, CA | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 93116 | Goleta, CA -0948 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 94244 | Sacramento, CA -2430 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96110 | General Developmental Screening | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96112 | Developmental test administration, first hour | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96113 | Developmental test administration, each additional 30 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96114 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96115 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96116 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96121 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96127 | Developmental screening, per standardized instrument | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96132 | Neuropsychological testing evaluation services; first hour | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96133 | Neuropsychological testing evaluation services; each additional hour | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96136 | Psychological or neuropsychological test administration and scoring, two or more | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96137 | Psychological or neuropsychological test | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96138 | Psychological or neuropsychological test administration and scoring by | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96139 | Psychological or neuropsychological test | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 96146 | Psychological or neuropsychological test administration, with single automated | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 98960 | 30 Minutes 1 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 98961 | 30 Minutes 2-4 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 98962 | 30 Minutes 5-8 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99188 | Use CPT code - topical application. Reimbursable for children through age 5 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99203 | • Office or other outpatient services: CPT codes through and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99205 | • Office or other outpatient services: CPT codes through and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99213 | • Office or other outpatient services: CPT codes through and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99215 | through | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99340 | through | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99342 | • Home or residence services: CPT codes , through , and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99344 | • Home or residence services: CPT codes , through , and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99345 | • Home or residence services: CPT codes , through , and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99348 | • Home or residence services: CPT codes , through , and | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99366 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99367 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99368 | These codes may not be billed with , , , or | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99381 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99382 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99383 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99384 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99385 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99386 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99387 | Preventive visit, new patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99391 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99392 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99393 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99394 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99395 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99396 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99397 | Preventive visit, established patient No restriction | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99406 | Tobacco cessation, 3 to 10 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| 99407 | Tobacco cessation, more than 10 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G0019 | HCPCS must be billed with modifier U2: Community Health Integration (CHI) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G0022 | CHW supervising providers can bill for additional CHI services with HCPCS code | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G0442 | Annual alcohol misuse screening, 15 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G8431 | Screening for Depression, Positive Result | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G8510 | Screening for Depression, Negative Result | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G9919 | Screening performed – results positive and provisions of 4 and greater | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| G9920 | Screening performed – results negative 0 to 3 (low risk) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H0031 | per 15 min Assessment | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H0032 | per 15 min Treatment Plan development (including supervision) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H0049 | Drug use screening | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H0050 | Alcohol and drug services, brief intervention | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H1011 | Dyadic Behavioral Health Well-Child Visit | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H2000 | Comprehensive multidisciplinary evaluation | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H2014 | per 15 min Skills Training and development (group) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H2015 | Dyadic Comprehensive Community Support Services, per 15 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H2019 | per 15 min Therapeutic Behavioral Services | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H2027 | Dyadic Psychoeducational Services, per 15 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H4300 | Speech-language therapy, individual, per hour (following procedures or ) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| H4301 | Speech-language therapy, individual, per hour (following procedures or ) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| S5102 | Day care services, adult; per diem | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| S5111 | per session Home care/family training | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| T1023 | Screening to determine the appropriateness of consideration of an individual for | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| T1027 | Dyadic Family Training and Counseling for Child Development, per 15 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| T1032 | • -XP – Extended postpartum doula support, per 15 minutes | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| T1033 | • HCPCS -XP – Doula support during or after miscarriage | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2020 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2025 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2100 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2200 | 2199, -2299 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2300 | 2199, -2299 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2410 | 2399, -2499 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2500 | 2399, -2499 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V2630 | 2599, -2632 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5010 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5060 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5120 | applicable sales tax), not to | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5160 | exceed $1,250.00 per | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5171 | exceed $1,250.00 per | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| V5190 | exceed $1,250.00 per | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| X4502 | Code | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| Z1032 | HCPCS: , , pregnancies) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| Z1034 | HCPCS: , , pregnancies) | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| Z1038 | Postpartum care: Z39.0–Z39.2 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |
| Z6500 | Postpartum care: Z39.0–Z39.2 | 2024-11-18 | Not listed | 97% | [PDF] 2026 Provider Manual | CenCal Health |