Prior authorization codes

Sharp Health Plan

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

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
90832
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90833
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90834
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90835
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90836
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90837
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90846
No PA or referral if provider is in network
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90849
PA required if not
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90853
PA required if not
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90867
P Transcranial Magnetic Stimulation
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90868
P Transcranial Magnetic Stimulation
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90869
P Transcranial Magnetic Stimulation
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
90870
P/X Electroconvulsive Therapy (ECT)
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96105
P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96110
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96116
P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96121
P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96125
P Neuropsychological Testing , , , Prior authorization required if done as outpatient
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96130
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96131
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96132
P Neuropsychological Testing , , , Prior authorization required if done as outpatient
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96133
P Neuropsychological Testing , , , Prior authorization required if done as outpatient
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96136
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96137
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96138
P Psychological Testing Prior authorization required if done as outpatient.
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96139
9613–
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
96146
9613–
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97151
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97152
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97153
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97154
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97155
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97156
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97157
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
97158
P
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99201
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99202
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99203
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99204
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99205
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99206
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99207
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99208
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99209
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99210
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99211
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99212
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99213
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99214
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
99215
D Medication Management, Psychiatric
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
A0021
X Ambulance (Emergent Services) –
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
A0999
X Ambulance (Emergent Services) –
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders
J2315
P Injectable Medications Excluding Vivitrol aka Naltrexone CPT code
2026-07-06Not listed97%
[PDF] Prior Authorization List - Mental Health & Substance Use Disorders