Prior authorization codes

Community Health Plan of Washington (CHPW)

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

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
16137
Phone: 1-800-562-3022, ext
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
75026
Plano, TX -9002
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90471
payment for procedure codes was also implemented
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90472
payment for procedure codes was also implemented
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90473
payment for procedure codes was also implemented
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90474
payment for procedure codes was also implemented
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90791
• The purpose of conducting a mental health assessment (CPT code , or ONLY)
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
90792
• The purpose of conducting a mental health assessment (CPT code , or ONLY)
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington
H0031
• The purpose of conducting a mental health assessment (CPT code , or ONLY)
2025-11-01Not listed97%
[PDF] Provider Orientation YR2026 - Community Health Plan of Washington