Prior authorization codes
Sharp Health Plan
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 90832 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90833 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90834 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90835 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90836 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90837 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90846 | No PA or referral if provider is in network | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90849 | PA required if not | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90853 | PA required if not | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90867 | P Transcranial Magnetic Stimulation | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90868 | P Transcranial Magnetic Stimulation | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90869 | P Transcranial Magnetic Stimulation | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 90870 | P/X Electroconvulsive Therapy (ECT) | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96105 | P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96110 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96116 | P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96121 | P Neuropsychological Testing 96125, 96132, 96133, Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96125 | P Neuropsychological Testing , , , Prior authorization required if done as outpatient | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96130 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96131 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96132 | P Neuropsychological Testing , , , Prior authorization required if done as outpatient | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96133 | P Neuropsychological Testing , , , Prior authorization required if done as outpatient | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96136 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96137 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96138 | P Psychological Testing Prior authorization required if done as outpatient. | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96139 | 9613– | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 96146 | 9613– | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97151 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97152 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97153 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97154 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97155 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97156 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97157 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 97158 | P | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99201 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99202 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99203 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99204 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99205 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99206 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99207 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99208 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99209 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99210 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99211 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99212 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99213 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99214 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| 99215 | D Medication Management, Psychiatric | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| A0021 | X Ambulance (Emergent Services) – | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| A0999 | X Ambulance (Emergent Services) – | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |
| J2315 | P Injectable Medications Excluding Vivitrol aka Naltrexone CPT code | 2026-07-06 | Not listed | 97% | [PDF] Prior Authorization List - Mental Health & Substance Use Disorders |