Prior authorization codes

Denver Health Medical Plan

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

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
38335
COFIN SUBMIT CLAIMS THROUGH COFINITY EDI PAYER #
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
99291
OCE076 Trauma response critical care code without revenue code 068x and CPT
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
A0100
Prior authorization is awaiting medical review
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
A0101
Authorization Amount overrides Contract Amount
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
A0624
Authorization Line Manually Denied
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
A0625
Authorization Line Manually Pended
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
A0626
Authorization Status Manually Set
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
D0001
SERVICE RESPONSIBILITY OF LAB CORP ONLY
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
D6000
The Provider is not a member of the UHC PPO Network
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
G0244
OCE056 EM condition not met and line item date for OBS code is not 12-31 or 01-01
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
G0378
AP058 RESUBMIT CORRECTION - RETURN TO PROVIDER ONLY ALLOWED WITH
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
G0379
AP058 RESUBMIT CORRECTION - RETURN TO PROVIDER ONLY ALLOWED WITH
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0010
No Active Provider Contract
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0011
Provider Not Active for Plan on DOS
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0012
Invalid Approved Provider Service for Provider
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0014
No Contract Term found for Service
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0015
Referral Required by Contract
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0016
No Benefit for Service
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0017
Incorrect age for Nursery charges
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0018
Invalid Accommodation Days
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0019
Benefit Requires Prior Authorization
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0020
Benefit Visit Limit Exceeded
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0021
Benefit Dollar Limit Exceeded
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0022
Benefit Applies to PCP Only
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0023
Admit Date Required for Inpatient Claim
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0024
Attending Physician Required for Inpatient Claims
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0025
Claim Total Mismatch
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0026
Invalid Bill Type
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0027
Primary ICD9 Diagnostic Code Required
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0028
Discharge Status Required for Inpatient and SNF Claims
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0029
Interim Claim with no Initial Claim
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0030
Duplicate Claim Line(Member/DOS/CPT(Rev))
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0031
Invalid CPT Modifier
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0032
Invalid CPT/HCPCS
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0033
Invalid Revenue Code
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0034
Modifier required for CPT/HCPCS
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0035
Revenue Code Requires HCPCS
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0036
Physicians Assistant requires Modifier 80 or 27
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0037
CRNA requires Modifier AA
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0038
Invalid Line Date of Service
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0039
Invalid Start Date
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0040
Invalid End Date
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0041
Invalid Discharge Status
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0042
Invalid Revenue Code for Bill Type
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0043
Invalid HCPCS for Revenue Code
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0044
Claim Tiers Do Not Match Referral
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0045
Missing Primary Diagnosis
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0046
Admit Type Required
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0047
Discharge Status Required
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0048
Invalid For Male
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0049
Invalid For Female
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0050
No Enrollment
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0051
Duplicate Claim (Member/DOS)
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0052
Coverage Period Insufficient for Benefit Coverage
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0053
Member has no active enrollment on DOS
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0054
Manually Pended Claim
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0055
Provider is not part of Network required for Benefit
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0056
Service is capitated to PCP or IPA
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0057
No Attending Physician ID (Outpatient)
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0058
Provider is Not Credentialed
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0059
Claim amount exceeds maximum allowed during Mass Adjudication
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0060
Negative charge on claim line
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0061
Provider has Alert/Memos
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0062
Provider Watch flag has been set for review
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0063
Claim amount exceeds Maximum allowed
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0064
Provider does not match required type
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0065
Provider requires a specialty code
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0066
Claim denied manually
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0067
Electronic claim has COB
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0068
Benefit has age restrictions
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0069
Provider type does not match term
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0070
PCP is solely responsible for services
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0071
Price UB by CPT billed yes/no
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0072
Benefit Requires Manual Review
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0073
Contract Term Requires Manual Review
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0074
Provider on Pay Hold
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0075
Invalid Admit Hour
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0076
Invalid Discharge Hour
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0077
Claim Doesn't have any Service Lines
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0078
Generate 1500 From EPSDT Form
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0080
Claim payment amt exceeds max allowed for mass adjudication
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0087
Claim payment amount exceeds maximum allowed
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0088
Claim payment amt exceeds max allowed for mass adjudication
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0089
EARLY INTERVENTION SERVICES (EIS) ARE DENIED, PROVIDERS MUST BILL FOR EIS THRU THE EIS TRUST FUND
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0090
MEMBER IS DECEASED PRIOR TO DATE OF SERVICE ON CLAIM
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
M0091
Provider not revalidated per Colorado Medicaid
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
R0008
Claim requires manual processing
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org
R0208
Provider doesn't meet criteria required to provide service
2026-07-06Not listed97%
[PDF] PENDED REASON CODES - DenverHealthMedicalPlan.org