Prior authorization codes

The Health Plan

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

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
11057
Paring or Cutting - HH or NH Aide Trim skin lesions over 4
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11920
Cosmetic & Reconstructive Correct skin color 6.0 cm/<
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11950
Cosmetic & Reconstructive Tx contour defects 1 cc/<
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11951
Cosmetic & Reconstructive Tx contour defects 1.1-5.0cc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11952
Cosmetic & Reconstructive Tx contour defects 5.1-10cc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11954
Cosmetic & Reconstructive Tx contour defects >10.0 cc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11960
Cosmetic & Reconstructive Insert tissue expander(s)
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11970
Cosmetic & Reconstructive Replace tissue expander
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
11971
Cosmetic & Reconstructive Remove tissue expander(s)
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15730
Cosmetic & Reconstructive Mdfc flap w/prsrv vasc pedcl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15731
Cosmetic & Reconstructive Forehead flap w/vasc pedicle
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15733
Cosmetic & Reconstructive Musc myoq/fscq flp h&n pedcl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15756
Cosmetic & Reconstructive Free myo/skin flap microvasc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15757
Cosmetic & Reconstructive Free skin flap microvasc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15758
Cosmetic & Reconstructive Free fascial flap microvasc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15760
Cosmetic & Reconstructive Composite skin graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15769
Cosmetic & Reconstructive Grfg autol soft tiss dir exc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15770
Cosmetic & Reconstructive Derma-fat-fascia graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15771
Cosmetic & Reconstructive Grfg autol fat lipo 50 cc/<
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15772
Cosmetic & Reconstructive Grfg autol fat lipo ea addl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15773
Cosmetic & Reconstructive Grfg autol fat lipo 25 cc/<
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15774
Cosmetic & Reconstructive Gfrg autol fat lipo ea addl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15820
Cosmetic & Reconstructive Revision of lower eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15821
Cosmetic & Reconstructive Revision of lower eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15822
Cosmetic & Reconstructive Revision of upper eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15823
Cosmetic & Reconstructive Revision of upper eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15830
Cosmetic & Reconstructive Exc skin abd
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15832
Cosmetic & Reconstructive Excise excessive skin thigh
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15833
Cosmetic & Reconstructive Excise excessive skin leg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15834
Cosmetic & Reconstructive Excise excessive skin hip
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15835
Cosmetic & Reconstructive Excise excessive skin buttck
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15836
Cosmetic & Reconstructive Excise excessive skin arm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15837
Cosmetic & Reconstructive Excise excess skin arm/hand
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15838
Cosmetic & Reconstructive Excise excess skin fat pad
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15839
Cosmetic & Reconstructive Excise excess skin & tissue
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15847
Cosmetic & Reconstructive Exc skin abd add-on
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15876
Cosmetic & Reconstructive Suction lipectomy head&neck
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15877
Cosmetic & Reconstructive Suction lipectomy trunk
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15878
Cosmetic & Reconstructive Suction lipectomy upr extrem
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
15879
Cosmetic & Reconstructive Suction lipectomy lwr extrem
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
16036
Cosmetic & Reconstructive Escharotomy addl incision Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
17999
Cosmetic & Reconstructive Skin tissue procedure
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
20560
Chronic Low Back Pain Treatment Ndl insj w/o njx 1 or 2 musc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
20561
Chronic Low Back Pain Treatment Ndl insj w/o njx 3+ musc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21137
Cosmetic & Reconstructive Reduction of forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21138
Cosmetic & Reconstructive Reduction of forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21139
Cosmetic & Reconstructive Reduction of forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21172
Cosmetic & Reconstructive Reconstruct orbit/forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21175
Cosmetic & Reconstructive Reconstruct orbit/forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21179
Cosmetic & Reconstructive Reconstruct entire forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21180
Cosmetic & Reconstructive Reconstruct entire forehead
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21181
Cosmetic & Reconstructive Contour cranial bone lesion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21182
Cosmetic & Reconstructive Reconstruct cranial bone
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21183
Cosmetic & Reconstructive Reconstruct cranial bone
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21184
Cosmetic & Reconstructive Reconstruct cranial bone
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21208
Cosmetic & Reconstructive Augmentation of facial bones
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21209
Cosmetic & Reconstructive Reduction of facial bones
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21230
Cosmetic & Reconstructive Rib cartilage graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21235
Cosmetic & Reconstructive Ear cartilage graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21256
Cosmetic & Reconstructive Reconstruction of orbit
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21260
Cosmetic & Reconstructive Revise eye sockets
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21261
Cosmetic & Reconstructive Revise eye sockets
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21263
Cosmetic & Reconstructive Revise eye sockets
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21267
Cosmetic & Reconstructive Revise eye sockets
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21275
Cosmetic & Reconstructive Revision orbitofacial bones
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21280
Cosmetic & Reconstructive Revision of eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21282
Cosmetic & Reconstructive Revision of eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21299
Cosmetic & Reconstructive Cranio/maxillofacial surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21742
Cosmetic & Reconstructive Repair stern/nuss w/o scope
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
21743
Cosmetic & Reconstructive Repair sternum/nuss w/scope
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22100
Orthopedic Surgeries Remove part of neck vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22101
Orthopedic Surgeries Remove part thorax vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22102
Orthopedic Surgeries Remove part lumbar vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22110
Orthopedic Surgeries Remove part of neck vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22112
Orthopedic Surgeries Remove part thorax vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22114
Orthopedic Surgeries Remove part lumbar vertebra
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22116
Orthopedic Surgeries Remove extra spine segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22206
Orthopedic Surgeries Incis spine 3 column thorac
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22207
Orthopedic Surgeries Incis spine 3 column lumbar
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22208
Orthopedic Surgeries Incis spine 3 column adl seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22210
Orthopedic Surgeries Incis 1 vertebral seg cerv
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22212
Orthopedic Surgeries Incis 1 vertebral seg thorac
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22214
Orthopedic Surgeries Incis 1 vertebral seg lumbar
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22216
Orthopedic Surgeries Incis addl spine segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22220
Orthopedic Surgeries Incis w/discectomy cervical
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22222
Orthopedic Surgeries Incis w/discectomy thoracic
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22224
Orthopedic Surgeries Incis w/discectomy lumbar
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22226
Orthopedic Surgeries Revise extra spine segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22318
Orthopedic Surgeries Treat odontoid fx w/o graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22319
Orthopedic Surgeries Treat odontoid fx w/graft
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22325
Orthopedic Surgeries Treat spine fracture
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22326
Orthopedic Surgeries Treat neck spine fracture
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22327
Orthopedic Surgeries Treat thorax spine fracture
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22328
Orthopedic Surgeries Treat each add spine fx
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22510
Percutaneous Vertebroplasty Perq cervicothoracic inject
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22511
Percutaneous Vertebroplasty Perq lumbosacral injection
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22512
Percutaneous Vertebroplasty Vertebroplasty addl inject
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22513
Percutaneous Vertebroplasty Perq vertebral augmentation
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22514
Percutaneous Vertebroplasty Perq vertebral augmentation
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22515
Percutaneous Vertebroplasty Perq vertebral augmentation
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22532
Orthopedic Surgeries Lat thorax spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22533
Orthopedic Surgeries Lat lumbar spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22534
Orthopedic Surgeries Lat thor/lumb addl seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22548
Orthopedic Surgeries Neck spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22551
Orthopedic Surgeries Neck spine fuse&remov bel c2
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22552
Orthopedic Surgeries Addl neck spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22554
Orthopedic Surgeries Neck spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22556
Orthopedic Surgeries Thorax spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22558
Orthopedic Surgeries Lumbar spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22585
Orthopedic Surgeries Additional spinal fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22586
Orthopedic Surgeries Prescrl fuse w/ instr l5-s1
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22590
Orthopedic Surgeries Spine & skull spinal fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22595
Orthopedic Surgeries Neck spinal fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22600
Orthopedic Surgeries Neck spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22610
Orthopedic Surgeries Thorax spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22612
Orthopedic Surgeries Lumbar spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22614
Orthopedic Surgeries Spine fusion extra segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22630
Orthopedic Surgeries Lumbar spine fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22632
Orthopedic Surgeries Spine fusion extra segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22633
Orthopedic Surgeries Lumbar spine fusion combined
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22634
Orthopedic Surgeries Spine fusion extra segment
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22800
Orthopedic Surgeries Post fusion </6 vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22802
Orthopedic Surgeries Post fusion 7-12 vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22804
Orthopedic Surgeries Post fusion 13/> vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22808
Orthopedic Surgeries Ant fusion 2-3 vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22810
Orthopedic Surgeries Ant fusion 4-7 vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22812
Orthopedic Surgeries Ant fusion 8/> vert seg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22818
Orthopedic Surgeries Kyphectomy 1-2 segments
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22819
Orthopedic Surgeries Kyphectomy 3 or more
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22830
Orthopedic Surgeries Exploration of spinal fusion
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22840
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22841
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22842
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22843
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22844
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22845
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22846
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22847
Orthopedic Surgeries Insert spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22848
Orthopedic Surgeries Insert pelv fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22849
Orthopedic Surgeries Reinsert spinal fixation
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22850
Orthopedic Surgeries Remove spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22852
Orthopedic Surgeries Remove spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22855
Orthopedic Surgeries Remove spine fixation device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22856
Orthopedic Surgeries Cerv artific diskectomy
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22857
Orthopedic Surgeries Lumbar artif diskectomy
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22860
Orthopedic Surgeries Tot disc arthrp 2ntrspc lmbr
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22861
Orthopedic Surgeries Revise cerv artific disc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22862
Orthopedic Surgeries Revise lumbar artif disc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22864
Orthopedic Surgeries Remove cerv artif disc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22865
Orthopedic Surgeries Remove lumb artif disc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
22899
Orthopedic Surgeries Spine surgery procedure
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
27445
Orthopedic Surgeries Revision of knee joint
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
27446
Orthopedic Surgeries Revision of knee joint Requires Precert Only if IP
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
27447
Orthopedic Surgeries Total knee arthroplasty Requires Precert Only if IP
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
27486
Orthopedic Surgeries Revise/replace knee joint
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
27487
Orthopedic Surgeries Revise/replace knee joint
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
28344
Cosmetic & Reconstructive Repair extra toe(s)
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30400
Rhinoplasty Reconstruction of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30410
Rhinoplasty Reconstruction of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30420
Rhinoplasty Reconstruction of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30435
Rhinoplasty Revision of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30450
Rhinoplasty Revision of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30462
Rhinoplasty Revision of nose
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30465
Cosmetic & Reconstructive Repair nasal stenosis
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30545
Cosmetic & Reconstructive Repair nasal defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30560
Cosmetic & Reconstructive Release of nasal adhesions
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
30620
Cosmetic & Reconstructive Intranasal reconstruction
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32850
Transplant Procedures Donor pneumonectomy Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32851
Transplant Procedures Lung transplant single Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32852
Transplant Procedures Lung transplant with bypass Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32853
Transplant Procedures Lung transplant double Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32854
Transplant Procedures Lung transplant with bypass Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32855
Transplant Procedures Prepare donor lung single Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
32856
Transplant Procedures Prepare donor lung double Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33930
Transplant Procedures Removal of donor heart/lung Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33933
Transplant Procedures Prepare donor heart/lung Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33935
Transplant Procedures Transplantation heart/lung Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33940
Transplant Procedures Removal of donor heart Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33944
Transplant Procedures Prepare donor heart Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33945
Transplant Procedures Transplantation of heart Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33975
Cardiovascular Surgery Implant ventricular device Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33976
Cardiovascular Surgery Implant ventricular device Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33979
Cardiovascular Surgery Insert intracorporeal device Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33981
Cardiovascular Surgery Replace vad pump ext Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33982
Cardiovascular Surgery Replace vad intra w/o bp Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
33983
Cardiovascular Surgery Replace vad intra w/bp Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36465
Injection Procedures Njx noncmpnd sclrsnt 1 vein
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36466
Injection Procedures Njx noncmpnd sclrsnt mlt vn
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36468
Cosmetic & Reconstructive Njx sclrsnt spider veins
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36470
Cosmetic & Reconstructive Njx sclrsnt 1 incmptnt vein
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36471
Cosmetic & Reconstructive Njx sclrsnt mlt incmptnt vn
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36473
Vascular Surgery Endovenous mchnchem 1st vein
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36474
Vascular Surgery Endovenous mchnchem add-on
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36475
Vascular Surgery Endovenous rf 1st vein
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36476
Vascular Surgery Endovenous rf vein add-on
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36478
Vascular Surgery Endovenous laser 1st vein
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36479
Vascular Surgery Endovenous laser vein addon
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36482
Vascular Surgery Endoven ther chem adhes 1st
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
36483
Vascular Surgery Endoven ther chem adhes sbsq
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43633
Bariatrics Surgery Removal of stomach partial Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43644
Bariatrics Surgery Lap gastric bypass/roux-en-y Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43645
Bariatrics Surgery Lap gastr bypass incl smll i Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43659
Bariatrics Surgery Laparoscope proc stom
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43770
Bariatrics Surgery Lap place gastr adj device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43771
Bariatrics Surgery Lap revise gastr adj device Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43772
Bariatrics Surgery Lap rmvl gastr adj device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43773
Bariatrics Surgery Lap replace gastr adj device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43774
Bariatrics Surgery Lap rmvl gastr adj all parts
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43775
Bariatrics Surgery Lap sleeve gastrectomy Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43843
Bariatrics Surgery Gastroplasty w/o v-band Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43845
Bariatrics Surgery Gastroplasty duodenal switch Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43846
Bariatrics Surgery Gastric bypass for obesity Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43847
Bariatrics Surgery Gastric bypass incl small i Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43848
Bariatrics Surgery Revision gastroplasty Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43860
Bariatrics Surgery Revise stomach-bowel fusion Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
43865
Bariatrics Surgery Revise stomach-bowel fusion Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44132
Transplant Procedures Enterectomy cadaver donor Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44133
Transplant Procedures Enterectomy live donor Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44135
Transplant Procedures Intestine transplnt cadaver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44136
Transplant Procedures Intestine transplant live Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44137
Transplant Procedures Remove intestinal allograft Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44715
Transplant Procedures Prepare donor intestine Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44720
Transplant Procedures Prep donor intestine/venous Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
44721
Transplant Procedures Prep donor intestine/artery Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47133
Transplant Procedures Removal of donor liver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47135
Transplant Procedures Transplantation of liver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47140
Transplant Procedures Partial removal donor liver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47141
Transplant Procedures Partial removal donor liver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47142
Transplant Procedures Partial removal donor liver Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47143
Transplant Procedures Prep donor liver whole Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47144
Transplant Procedures Prep donor liver 3-segment Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47145
Transplant Procedures Prep donor liver lobe split Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47146
Transplant Procedures Prep donor liver/venous Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
47147
Transplant Procedures Prep donor liver/arterial Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
48551
Transplant Procedures Prep donor pancreas Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
48552
Transplant Procedures Prep donor pancreas/venous Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
48554
Transplant Procedures Transpl allograft pancreas Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
48556
Transplant Procedures Removal allograft pancreas Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50300
Transplant Procedures Remove cadaver donor kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50320
Transplant Procedures Remove kidney living donor Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50323
Transplant Procedures Prep cadaver renal allograft Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50325
Transplant Procedures Prep donor renal graft Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50327
Transplant Procedures Prep renal graft/venous Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50328
Transplant Procedures Prep renal graft/arterial Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50329
Transplant Procedures Prep renal graft/ureteral Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50340
Transplant Procedures Removal of kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50360
Transplant Procedures Transplantation of kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50365
Transplant Procedures Transplantation of kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50370
Transplant Procedures Remove transplanted kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
50380
Transplant Procedures Reimplantation of kidney Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54400
Penile Implant - Cosmetic & Reconstructive Insert semi-rigid prosthesis
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54401
Penile Implant - Cosmetic & Reconstructive Insert self-contd prosthesis
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54405
Penile Implant - Cosmetic & Reconstructive Insert Multi-Comp Penis Pros
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54406
Penile Implant - Cosmetic & Reconstructive Remove Muti-Comp Penis Pros
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54408
Penile Implant - Cosmetic & Reconstructive Repair Multi-Comp Penis Pros
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54410
Penile Implant - Cosmetic & Reconstructive Remove/Replace Penis Prosth
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54411
Penile Implant - Cosmetic & Reconstructive Remov/Replc Penis Pros Comp
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54416
Penile Implant - Cosmetic & Reconstructive Remv/Repl Penis Contain Pros
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
54417
Penile Implant - Cosmetic & Reconstructive Remv/Replc Penis Pros Compl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63001
Spinal Surgeries Remove spine lamina 1/2 crvl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63003
Spinal Surgeries Remove spine lamina 1/2 thrc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63005
Spinal Surgeries Remove spine lamina 1/2 lmbr
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63011
Spinal Surgeries Remove spine lamina 1/2 scrl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63012
Spinal Surgeries Remove lamina/facets lumbar
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63015
Spinal Surgeries Remove spine lamina >2 crvcl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63016
Spinal Surgeries Remove spine lamina >2 thrc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63017
Spinal Surgeries Remove spine lamina >2 lmbr
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63020
Spinal Surgeries Neck spine disk surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63030
Spinal Surgeries Low back disk surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63035
Spinal Surgeries Spinal disk surgery add-on
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63040
Spinal Surgeries Laminotomy single cervical
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63042
Spinal Surgeries Laminotomy single lumbar
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63043
Spinal Surgeries Laminotomy addl cervical
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63045
Spinal Surgeries Remove spine lamina 1 crvl
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63046
Spinal Surgeries Remove spine lamina 1 thrc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63047
Spinal Surgeries Remove spine lamina 1 lmbr
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63048
Spinal Surgeries Remove spinal lamina add-on
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63050
Spinal Surgeries Cervical laminoplsty 2/> seg Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63051
Spinal Surgeries C-laminoplasty w/graft/plate Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63055
Spinal Surgeries Decompress spinal cord thrc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63056
Spinal Surgeries Decompress spinal cord lmbr
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63064
Spinal Surgeries Decompress spinal cord thrc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63075
Spinal Surgeries Neck spine disk surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63076
Spinal Surgeries Neck spine disk surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63077
Spinal Surgeries Spine disk surgery thorax Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63078
Spinal Surgeries Spine disk surgery thorax Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63081
Spinal Surgeries Remove vert body dcmprn crvl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63082
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63085
Spinal Surgeries Remove vert body dcmprn thrc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63086
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63087
Spinal Surgeries Remov vertbr dcmprn thrclmbr Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63088
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63090
Spinal Surgeries Remove vert body dcmprn lmbr Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63091
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63101
Spinal Surgeries Remove vert body dcmprn thrc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63102
Spinal Surgeries Remove vert body dcmprn lmbr Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63103
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63170
Spinal Surgeries Incise spinal cord tract(s) Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63185
Spinal Surgeries Incise spine nrv half segmnt Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63190
Spinal Surgeries Incise spine nrv >2 segmnts Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63191
Spinal Surgeries Incise spine accessory nerve Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63200
Spinal Surgeries Release spinal cord lumbar Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63250
Spinal Surgeries Revise spinal cord vsls crvl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63251
Spinal Surgeries Revise spinal cord vsls thrc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63252
Spinal Surgeries Revise spine cord vsl thrlmb Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63265
Spinal Surgeries Excise intraspinl lesion crv
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63270
Spinal Surgeries Excise intrspinl lesion crvl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63275
Spinal Surgeries Bx/exc xdrl spine lesn crvl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63280
Spinal Surgeries Bx/exc idrl spine lesn crvl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63285
Spinal Surgeries Bx/exc idrl imed lesn cervl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63295
Spinal Surgeries Repair laminectomy defect Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63300
Spinal Surgeries Remove vert xdrl body crvcl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63301
Spinal Surgeries Remove vert xdrl body thrc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63302
Spinal Surgeries Remove vert xdrl body thrlmb Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63303
Spinal Surgeries Remov vert xdrl bdy lmbr/sac Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63304
Spinal Surgeries Remove vert idrl body crvcl Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63305
Spinal Surgeries Remove vert idrl body thrc Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63306
Spinal Surgeries Remov vert idrl bdy thrclmbr Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63307
Spinal Surgeries Remov vert idrl bdy lmbr/sac Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63308
Spinal Surgeries Remove vertebral body add-on Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63650
Spinal Stimulator for Pain Management Implant neuroelectrodes
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63655
Spinal Stimulator for Pain Management Implant neuroelectrodes
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63685
Spinal Stimulator for Pain Management Insrt/redo spine n generator
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63700
Nervous System Surgery Repair of spinal herniation Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63702
Nervous System Surgery Repair of spinal herniation Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63704
Nervous System Surgery Repair of spinal herniation Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63706
Nervous System Surgery Repair of spinal herniation Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63707
Nervous System Surgery Repair spinal fluid leakage Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63709
Nervous System Surgery Repair spinal fluid leakage Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63710
Nervous System Surgery Graft repair of spine defect Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
63740
Nervous System Surgery Install spinal shunt Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
64555
Nervous System & Orthopedic Procedures Implant neuroelectrodes
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67900
Cosmetic & Reconstructive Repair brow defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67901
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67902
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67903
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67904
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67906
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67908
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67909
Cosmetic & Reconstructive Revise eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67911
Cosmetic & Reconstructive Revise eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67912
Cosmetic & Reconstructive Correction eyelid w/implant
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67914
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67915
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67916
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67917
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67921
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67922
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67923
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67924
Cosmetic & Reconstructive Repair eyelid defect
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67950
Cosmetic & Reconstructive Revision of eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67961
Cosmetic & Reconstructive Revision of eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
67966
Cosmetic & Reconstructive Revision of eyelid
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69300
Otoplasty - Cosmetic & Reconstructive Revise external ear
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69714
Auditory Implants Implant temple bone w/stimul
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69717
Auditory Implants Temple bone implant revision
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69799
Auditory Implants Middle ear surgery procedure
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69930
Auditory Implants Implant cochlear device
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
69979
Cochlear Implants and Other Auditory Implants Temporal bone surgery
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
97810
Chronic Low Back Pain Treatment Acupunct w/o stimul 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
97811
Chronic Low Back Pain Treatment Acupunct w/o stimul addl 15m
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
97813
Chronic Low Back Pain Treatment Acupunct w/stimul 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
97814
Chronic Low Back Pain Treatment Acupunct w/stimul addl 15m
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
99374
Home Health Nursing & NH Aide Home health care supervision
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
99509
Custodial Care Home visit day life activity, 1 hour Licensed caregiver only
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
A0426
Ambulance Transport Ambulance, ALS-1 non-emergency Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
A0428
Ambulance Transport Ambulance, BLS non-emergency Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4034
DMEPOS - PEN Enter Feed Supkit Syr By Day PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4035
DMEPOS - PEN Enteral Feed Supp Pump Per D PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4036
DMEPOS - PEN Enteral Feed Sup Kit Grav By PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4081
DMEPOS - PEN Enteral Ng Tubing w/ Stylet PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4082
DMEPOS - PEN Enteral Ng Tubing w/o Stylet PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4083
DMEPOS - PEN Enteral Stomach Tube Levine PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4087
DMEPOS - PEN Gastro/Jejuno Tube, Std PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4088
DMEPOS - PEN Gastro/Jejuno Tube, Low-Pro PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4105
DMEPOS - PEN Enzyme cartridge enteral nut PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4148
DMEPOS - PEN Enteral feeding supply kit PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4149
DMEPOS - PEN Ef Blenderized Foods PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4150
DMEPOS - PEN Ef Complet w/Intact Nutrient PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4152
DMEPOS - PEN Ef Calorie Dense>/=1.5Kcal PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4153
DMEPOS - PEN Ef Hydrolyzed/Amino Acids PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4154
DMEPOS - PEN Ef Spec Metabolic Noninherit PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4155
DMEPOS - PEN Ef Incomplete/Modular PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4157
DMEPOS - PEN Ef Special Metabolic Inherit PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4158
DMEPOS - PEN Ef Ped Complete Intact Nut PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4159
DMEPOS - PEN Ef Ped Complete Soy Based PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4160
DMEPOS - PEN Ef Ped Caloric Dense>/=0.7Kc PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4161
DMEPOS - PEN Ef Ped Hydrolyzed/Amino Acid PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4162
DMEPOS - PEN Ef Ped Specmetabolic Inherit PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4164
DMEPOS - PEN Parenteral 50% Dextrose Solu PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4168
DMEPOS - PEN Parenteral Sol Amino Acid 3. PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4172
DMEPOS - PEN Parenteral Sol Amino Acid 5. PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4176
DMEPOS - PEN Parenteral Sol Amino Acid 7- PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4178
DMEPOS - PEN Parenteral Sol Amino Acid > PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4180
DMEPOS - PEN Parenteral Sol Carb > 50% PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4185
DMEPOS - PEN Parenteral Sol 10 Gm Lipids PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4187
DMEPOS - PEN Omegaven, 10 grams lipids PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4189
DMEPOS - PEN Parenteral Sol Amino Acid & Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4193
DMEPOS - PEN Parenteral Sol 52-73 Gm Prot Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4197
DMEPOS - PEN Parenteral Sol 74-100 Gm Pro Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4199
DMEPOS - PEN Parenteral Sol > 100Gm Prote Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4216
DMEPOS - PEN Parenteral Nutrition Additiv PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4220
DMEPOS - PEN Parenteral Supply Kit Premix PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4222
DMEPOS - PEN Parenteral Supply Kit Homemi PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B4224
DMEPOS - PEN Parenteral Administration Ki PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B5000
DMEPOS - PEN Parenteral Sol Renal-Amirosy PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B5100
DMEPOS - PEN Parenteral Solution Hepatic PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B5200
DMEPOS - PEN Parenteral Sol Hepatic Fream PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B9002
MS DMEPOS - PEN Enter Nutr Inf Pump Any Type PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B9004
MS DMEPOS - PEN Parenteral Infus Pump Portab Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B9006
MS DMEPOS - PEN Parenteral Infus Pump Statio Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B9998
DMEPOS - PEN Enteral Supp Not Otherwise C PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
B9999
DMEPOS - PEN Parenteral Supp Not Othrws C PEN > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0100
NU DMEPOS Cane adjust/fixed with tip DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0105
NU DMEPOS Cane adjust/fixed quad/3 pro DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0110
NU DMEPOS Crutch forearm pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0111
NU DMEPOS Crutch forearm each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0112
NU DMEPOS Crutch underarm pair wood DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0113
NU DMEPOS Crutch underarm each wood DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0114
NU DMEPOS Crutch underarm pair no wood DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0116
NU DMEPOS Crutch underarm each no wood DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0117
RR DMEPOS Underarm springassist crutch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0130
NU DMEPOS Walker rigid adjust/fixed ht DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0135
NU DMEPOS Walker folding adjust/fixed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0140
RR DMEPOS Walker w trunk support DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0141
NU DMEPOS Rigid wheeled walker adj/fix DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0143
NU DMEPOS Walker folding wheeled w/o s DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0144
RR DMEPOS Enclosed walker w rear seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0147
NU DMEPOS Walker variable wheel resist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0148
NU DMEPOS Heavyduty walker no wheels DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0149
RR DMEPOS Heavy duty wheeled walker DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0150
DMEPOS Combo walker-transport chair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0153
NU DMEPOS Forearm crutch platform atta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0154
NU DMEPOS Walker platform attachment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0155
NU DMEPOS Walker wheel attachment,pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0156
NU DMEPOS Walker seat attachment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0157
NU DMEPOS Walker crutch attachment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0158
NU DMEPOS Walker leg extenders set of4 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0159
NU DMEPOS Brake for wheeled walker DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0160
NU DMEPOS Sitz type bath or equipment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0161
NU DMEPOS Sitz bath/equipment w/faucet DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0162
NU DMEPOS Sitz bath chair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0163
NU DMEPOS Commode chair with fixed arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0165
RR DMEPOS Commode chair with detacharm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0167
NU DMEPOS Commode chair pail or pan DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0168
NU DMEPOS Heavyduty/wide commode chair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0170
RR DMEPOS Commode chair electric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0171
RR DMEPOS Commode chair non-electric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0175
NU DMEPOS Commode chair foot rest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0181
RR DMEPOS Press pad alternating w/ pum Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0182
RR DMEPOS Replace pump, alt press pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0183
RR DMEPOS Powered pres-redu underlay/pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0184
NU DMEPOS Dry pressure mattress DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0185
NU DMEPOS Gel pressure mattress pad Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0186
RR DMEPOS Air pressure mattress Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0187
RR DMEPOS Water pressure mattress Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0188
NU DMEPOS Synthetic sheepskin pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0189
NU DMEPOS Lambswool sheepskin pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0191
NU DMEPOS Protector heel or elbow DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0193
RR DMEPOS Powered air flotation bed Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0194
RR DMEPOS Air fluidized bed Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0196
RR DMEPOS Gel pressure mattress Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0197
RR DMEPOS Air pressure pad for mattres Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0198
RR DMEPOS Water pressure pad for mattr Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0199
NU DMEPOS Dry pressure pad for mattres DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0200
NU DMEPOS Heat lamp without stand DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0201
NU DMEPOS Penile contractur devic manu DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0202
RR DMEPOS Phototherapy light w/ photom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0205
NU DMEPOS Heat lamp with stand DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0210
NU DMEPOS Electric heat pad standard DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0215
NU DMEPOS Electric heat pad moist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0217
NU DMEPOS Water circ heat pad w pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0218
NU DMEPOS Fluid circ cold pad w pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0225
NU DMEPOS Hydrocollator unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0235
RR DMEPOS Paraffin bath unit portable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0236
RR DMEPOS Pump for water circulating p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0239
NU DMEPOS Hydrocollator unit portable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0249
NU DMEPOS Pad water circulating heat u DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0250
RR DMEPOS Hosp bed fixed ht w/ mattres DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0251
RR DMEPOS Hosp bed fixd ht w/o mattres DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0255
RR DMEPOS Hospital bed var ht w/ mattr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0256
RR DMEPOS Hospital bed var ht w/o matt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0260
RR DMEPOS Hosp bed semi-electr w/ matt Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0261
RR DMEPOS Hosp bed semi-electr w/o mat Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0265
RR DMEPOS Hosp bed total electr w/ mat Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0266
RR DMEPOS Hosp bed total elec w/o matt Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0271
NU DMEPOS Mattress innerspring DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0272
NU DMEPOS Mattress foam rubber DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0275
NU DMEPOS Bed pan standard DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0276
NU DMEPOS Bed pan fracture DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0277
RR DMEPOS Powered pres-redu air mattrs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0280
NU DMEPOS Bed cradle DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0290
RR DMEPOS Hosp bed fx ht w/o rails w/m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0291
RR DMEPOS Hosp bed fx ht w/o rail w/o DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0292
RR DMEPOS Hosp bed var ht no sr w/matt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0293
RR DMEPOS Hosp bed var ht no sr no mat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0294
RR DMEPOS Hosp bed semi-elect w/ mattr Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0295
RR DMEPOS Hosp bed semi-elect w/o matt Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0296
RR DMEPOS Hosp bed total elect w/ matt Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0297
RR DMEPOS Hosp bed total elect w/o mat Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0300
RR DMEPOS Enclosed ped crib hosp grade DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0301
RR DMEPOS Hd hosp bed, 350-600 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0302
RR DMEPOS Ex hd hosp bed > 600 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0303
RR DMEPOS Hosp bed hvy dty xtra wide Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0304
RR DMEPOS Hosp bed xtra hvy dty x wide Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0305
RR DMEPOS Rails bed side half length DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0310
NU DMEPOS Rails bed side full length DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0316
RR DMEPOS Bed safety enclosure DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0325
NU DMEPOS Urinal male jug-type DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0326
NU DMEPOS Urinal female jug-type DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0371
RR DMEPOS Nonpower mattress overlay DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0372
RR DMEPOS Powered air mattress overlay Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0373
RR DMEPOS Nonpowered pressure mattress DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0424
RR DMEPOS Stationary compressed gas 02 Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0431
RR DMEPOS Portable gaseous 02 Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0433
RR DMEPOS Portable liquid oxygen sys Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0434
RR DMEPOS Portable liquid 02 Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0439
RR DMEPOS Stationary liquid 02 Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0441
DMEPOS Stationary o2 contents, gas Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0442
DMEPOS Stationary o2 contents, liq Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0443
DMEPOS Portable 02 contents, gas Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0444
DMEPOS Portable 02 contents, liquid Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0447
DMEPOS Port o2 cont, liq over 4 lpm Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0462
RR DMEPOS Rocking bed w/ or w/o side r Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0465
RR DMEPOS Home vent invasive interface Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0466
RR DMEPOS Home vent non-invasive inter Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0467
RR DMEPOS Home vent multi-function Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0468
RR DMEPOS home vent dual DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0469
RR DMEPOS Lung expans high oscil neb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0470
RR DMEPOS Rad w/o backup non-inv intfc Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0471
RR DMEPOS Rad w/backup non inv intrfc Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0472
RR DMEPOS Rad w backup invasive intrfc Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0480
RR DMEPOS Percussor elect/pneum home m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0482
RR DMEPOS Cough stimulating device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0483
RR DMEPOS Chest compression gen system Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0484
NU DMEPOS Non-elec oscillatory pep dvc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0485
NU DMEPOS Oral device/appliance prefab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0486
NU DMEPOS Oral device/appliance cusfab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0490
RR DMEPOS Control unit nm hw remote DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0491
DMEPOS Oral dv nm mouthpc hw remote DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0500
RR DMEPOS Ippb all types DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0530
RR DMEPOS Electronic posa treatment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0550
RR DMEPOS Humidif extens supple w ippb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0560
NU DMEPOS Humidifier supplemental w/ i DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0561
NU DMEPOS Humidifier nonheated w pap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0562
NU DMEPOS Humidifier heated used w pap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0565
RR DMEPOS Compressor air power source DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0570
RR DMEPOS Nebulizer with compression DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0572
RR DMEPOS Aerosol compressor adjust pr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0574
RR DMEPOS Ultrasonic generator w svneb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0575
RR DMEPOS Nebulizer ultrasonic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0580
NU DMEPOS Nebulizer for use w/ regulat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0585
RR DMEPOS Nebulizer w/ compressor & he DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0600
RR DMEPOS Suction pump portab hom modl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0601
RR DMEPOS Cont airway pressure device Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0602
NU DMEPOS Manual breast pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0605
NU DMEPOS Vaporizer room type DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0606
RR DMEPOS Drainage board postural DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0607
NU DMEPOS Blood glucose monitor home DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0610
NU DMEPOS Pacemaker monitr audible/vis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0615
NU DMEPOS Pacemaker monitr digital/vis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0617
RR DMEPOS Automatic ext defibrillator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0618
RR DMEPOS Apnea monitor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0619
RR DMEPOS Apnea monitor w recorder DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0620
RR DMEPOS Cap bld skin piercing laser DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0621
NU DMEPOS Patient lift sling or seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0627
NU DMEPOS Seat lift mech, electric any DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0629
NU DMEPOS Seat lift mech, non-electric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0630
RR DMEPOS Patient lift hydraulic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0635
RR DMEPOS Patient lift electric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0636
RR DMEPOS Pt support & positioning sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0639
RR DMEPOS Moveable patient lift system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0640
RR DMEPOS Fixed patient lift system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0650
NU DMEPOS Pneuma compresor non-segment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0651
NU DMEPOS Pneum compressor segmental DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0652
NU DMEPOS Pneum compres w/cal pressure DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0655
NU DMEPOS Pneumatic appliance half arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0656
RR DMEPOS Segmental pneumatic trunk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0657
RR DMEPOS Segmental pneumatic chest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0658
RR DMEPOS Seg pneum comp 2 arm chest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0659
RR DMEPOS Seg pneum comp head neck che DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0660
NU DMEPOS Pneumatic appliance full leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0665
NU DMEPOS Pneumatic appliance full arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0666
NU DMEPOS Pneumatic appliance half leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0667
NU DMEPOS Seg pneumatic appl full leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0668
NU DMEPOS Seg pneumatic appl full arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0669
NU DMEPOS Seg pneumatic appli half leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0670
NU DMEPOS Seg pneum int legs/trunk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0671
NU DMEPOS Pressure pneum appl full leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0672
NU DMEPOS Pressure pneum appl full arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0673
NU DMEPOS Pressure pneum appl half leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0675
RR DMEPOS Pneumatic compression device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0677
RR DMEPOS Non pneum seq comp trunk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0678
RR DMEPOS Non pneum seq comp full leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0679
RR DMEPOS Non pneum seq comp half leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0680
RR DMEPOS Non pneum comp control cal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0681
RR DMEPOS Non pneu comp control w/o ca DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0682
RR DMEPOS Non pneum compress full arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0683
RR DMEPOS Non pneu peristalic comp pmp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0691
NU DMEPOS Uvl pnl 2 sq ft or less DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0692
NU DMEPOS Uvl sys panel 4 ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0693
NU DMEPOS Uvl sys panel 6 ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0694
NU DMEPOS Uvl md cabinet sys 6 ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0705
NU DMEPOS Transfer device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0711
DMEPOS Ue enclosure restr rom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0720
NU DMEPOS Tens two lead DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0730
NU DMEPOS Tens four lead DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0731
NU DMEPOS Conductive garment for tens/ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0732
RR DMEPOS Ces system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0733
RR DMEPOS Trans elec nerv for trigemin DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0734
RR DMEPOS Ext up limb tremor stim wris DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0735
RR DMEPOS Non-invasive vagus nerv stim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0736
RR DMEPOS Transcut tibial nerv stimula DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0738
RR DMEPOS Tc tibial ns, control ph app DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0739
RR DMEPOS Tc tibial ns, control ph app DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0740
RR DMEPOS Non-implant pelv flr e-stim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0743
RR DMEPOS Ext low ext nerve stimu rls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0744
RR DMEPOS Neuromuscular stim for scoli DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0745
RR DMEPOS Neuromuscular stim for shock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0747
NU DMEPOS Elec osteogen stim not spine DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0748
NU DMEPOS Elec osteogen stim spinal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0749
RR DMEPOS Elec osteogen stim implanted DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0760
NU DMEPOS Osteogen ultrasound stimltor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0762
RR DMEPOS Trans elec jt stim dev sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0764
RR DMEPOS Functional neuromuscularstim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0766
RR DMEPOS Elec Stim Cancer Treatment Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0776
NU DMEPOS IV pole DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0779
RR DMEPOS Amb infusion pump mechanical Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0780
NU DMEPOS Mech amb infusion pump <8hrs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0781
RR DMEPOS External ambulatory infus pu Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0782
NU DMEPOS Non-programble infusion pump Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0783
NU DMEPOS Programmable infusion pump Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0784
RR DMEPOS Ext amb infusn pump insulin Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0785
KF DMEPOS Replacement impl pump cathet Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0786
NU DMEPOS Implantable pump replacement Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0791
RR DMEPOS Parenteral infusion pump sta Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0840
NU DMEPOS Tract frame attach headboard DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0849
RR DMEPOS Cervical pneum trac equip DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0850
NU DMEPOS Traction stand free standing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0855
RR DMEPOS Cervical traction equipment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0856
RR DMEPOS Cervic collar w air bladders DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0860
NU DMEPOS Tract equip cervical tract DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0870
NU DMEPOS Tract frame attach footboard DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0880
NU DMEPOS Trac stand free stand extrem DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0890
NU DMEPOS Traction frame attach pelvic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0900
NU DMEPOS Trac stand free stand pelvic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0910
RR DMEPOS Trapeze bar attached to bed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0911
RR DMEPOS Hd trapeze bar attach to bed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0912
RR DMEPOS Hd trapeze bar free standing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0920
RR DMEPOS Fracture frame attached to b DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0930
RR DMEPOS Fracture frame free standing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0940
RR DMEPOS Trapeze bar free standing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0941
RR DMEPOS Gravity assisted traction de DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0942
NU DMEPOS Cervical head harness/halter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0944
NU DMEPOS Pelvic belt/harness/boot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0945
NU DMEPOS Belt/harness extremity DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0946
RR DMEPOS Fracture frame dual w cross DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0947
NU DMEPOS Fracture frame attachmnts pe DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0948
NU DMEPOS Fracture frame attachmnts ce DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0950
NU DMEPOS Tray DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0951
NU DMEPOS Loop heel DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0952
NU DMEPOS Toe loop/holder, each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0953
NU DMEPOS W/c Lateral Thigh/Knee Sup DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0954
NU DMEPOS Foot Box, Any Type Each Foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0955
RR DMEPOS Cushioned headrest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0956
NU DMEPOS W/c lateral trunk/hip suppor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0957
NU DMEPOS W/c medial thigh support DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0958
RR DMEPOS Whlchr att- conv 1 arm drive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0959
NU DMEPOS Amputee adapter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0960
NU DMEPOS W/c shoulder harness/straps DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0961
NU DMEPOS Wheelchair brake extension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0966
NU DMEPOS Wheelchair head rest extensi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0967
NU DMEPOS Man wc rim/projection rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0968
RR DMEPOS Wheelchair commode seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0969
NU DMEPOS Wheelchair narrowing device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0971
NU DMEPOS Wheelchair anti-tipping devi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0973
NU DMEPOS W/ch access det adj armrest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0974
NU DMEPOS W/ch access anti-rollback DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0978
NU DMEPOS W/c acc,saf belt pelv strap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0980
NU DMEPOS Wheelchair safety vest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0981
NU DMEPOS Seat upholstery, replacement DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0982
NU DMEPOS Back upholstery, replacement DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0983
RR DMEPOS Add pwr joystick DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0984
RR DMEPOS Add pwr tiller DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0985
RR DMEPOS W/c seat lift mechanism DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0986
RR DMEPOS Man w/c push-rim powr system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0988
RR DMEPOS Lever-activated wheel drive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0990
NU DMEPOS Wheelchair elevating leg res DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0992
NU DMEPOS Wheelchair solid seat insert DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0994
NU DMEPOS Wheelchair arm rest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E0995
NU DMEPOS Wc calf rest, pad replacemnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1002
RR DMEPOS Pwr seat tilt Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1003
RR DMEPOS Pwr seat recline Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1004
RR DMEPOS Pwr seat recline mech Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1005
RR DMEPOS Pwr seat recline pwr Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1006
RR DMEPOS Pwr seat combo w/o shear Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1007
RR DMEPOS Pwr seat combo w/shear Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1008
RR DMEPOS Pwr seat combo pwr shear Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1009
NU DMEPOS Add mech leg elevation DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1010
RR DMEPOS Add pwr leg elevation Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1011
NU DMEPOS Ped wc modify width adjustm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1012
RR DMEPOS Ctr mount pwr elev leg rest Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1014
RR DMEPOS Reclining back add ped w/c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1015
NU DMEPOS Shock absorber for man w/c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1016
NU DMEPOS Shock absorber for power w/c Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1017
NU DMEPOS Hd shck absrbr for hd man wc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1018
NU DMEPOS Hd shck absrber for hd powwc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1020
RR DMEPOS Residual limb support system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1028
RR DMEPOS W/c manual swingaway DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1029
RR DMEPOS W/c vent tray fixed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1030
RR DMEPOS W/c vent tray gimbaled DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1031
RR DMEPOS Rollabout chair with casters DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1032
RR DMEPOS Wheelchair joystick drive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1033
RR DMEPOS Wheelchair hardware headrest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1034
RR DMEPOS Wheelchair trunk hip support DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1035
RR DMEPOS Patient transfer system <300 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1036
RR DMEPOS Patient transfer system >300 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1037
RR DMEPOS Transport chair, ped size DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1038
RR DMEPOS Transport chair pt wt<=300lb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1039
RR DMEPOS Transport chair pt wt >300lb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1050
RR DMEPOS Whelchr fxd full length arms DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1060
RR DMEPOS Wheelchair detachable arms DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1070
RR DMEPOS Wheelchair detachable foot r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1083
RR DMEPOS Hemi-wheelchair fixed arms DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1084
RR DMEPOS Hemi-wheelchair detachable a DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1087
RR DMEPOS Wheelchair lightwt fixed arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1088
RR DMEPOS Wheelchair lightweight det a DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1092
RR DMEPOS Wheelchair wide w/ leg rests DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1093
RR DMEPOS Wheelchair wide w/ foot rest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1100
RR DMEPOS Whchr s-recl fxd arm leg res DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1110
RR DMEPOS Wheelchair semi-recl detach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1150
RR DMEPOS Wheelchair standard w/ leg r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1160
RR DMEPOS Wheelchair fixed arms DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1161
RR DMEPOS Manual adult wc w tiltinspac DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1170
RR DMEPOS Whlchr ampu fxd arm leg rest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1171
RR DMEPOS Wheelchair amputee w/o leg r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1172
RR DMEPOS Wheelchair amputee detach ar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1180
RR DMEPOS Wheelchair amputee w/ foot r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1190
RR DMEPOS Wheelchair amputee w/ leg re DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1195
RR DMEPOS Wheelchair amputee heavy dut DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1200
RR DMEPOS Wheelchair amputee fixed arm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1221
RR DMEPOS Wheelchair spec size w foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1222
RR DMEPOS Wheelchair spec size w/ leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1223
RR DMEPOS Wheelchair spec size w foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1224
RR DMEPOS Wheelchair spec size w/ leg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1225
RR DMEPOS Manual semi-reclining back DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1226
NU DMEPOS Manual fully reclining back DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1230
NU DMEPOS Power operated vehicle Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1231
NU DMEPOS Rigid ped w/c tilt-in-space DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1232
RR DMEPOS Folding ped wc tilt-in-space DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1233
RR DMEPOS Rig ped wc tltnspc w/o seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1234
RR DMEPOS Fld ped wc tltnspc w/o seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1235
RR DMEPOS Rigid ped wc adjustable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1236
RR DMEPOS Folding ped wc adjustable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1237
RR DMEPOS Rgd ped wc adjstabl w/o seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1238
RR DMEPOS Fld ped wc adjstabl w/o seat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1240
RR DMEPOS Whchr litwt det arm leg rest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1270
RR DMEPOS Wheelchair lightweight leg r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1280
RR DMEPOS Whchr h-duty det arm leg res DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1295
RR DMEPOS Wheelchair heavy duty fixed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1310
NU DMEPOS Whirlpool non-portable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1353
DMEPOS Oxygen supplies regulator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1355
DMEPOS Oxygen supplies stand/rack DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1372
NU DMEPOS Oxy suppl heater for nebuliz DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1390
RR DMEPOS Oxygen concentrator Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1391
RR DMEPOS Oxygen concentrator, dual Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1392
RR DMEPOS Portable oxygen concentrator Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1405
RR DMEPOS O2/water vapor enrich w/heat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1406
RR DMEPOS O2/water vapor enrich w/o he DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1700
RR DMEPOS Jaw motion rehab system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1701
DMEPOS Repl cushions for jaw motion DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1702
DMEPOS Repl measr scales jaw motion DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1800
RR DMEPOS Adjust elbow ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1801
RR DMEPOS Sps elbow device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1802
RR DMEPOS Adjst forearm pro/sup device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1803
RR DMEPOS Adjust elbow extension dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1804
RR DMEPOS Adjust elbow flexion dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1805
RR DMEPOS Adjust wrist ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1806
RR DMEPOS Sps wrist device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1807
RR DMEPOS Adjust wrist extension dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1808
RR DMEPOS Adjust elbow flexion dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1810
RR DMEPOS Adjust knee ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1811
RR DMEPOS Sps knee device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1812
RR DMEPOS Knee ext/flex w act res ctrl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1813
RR DMEPOS Adjust knee extension device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1814
RR DMEPOS Adjust knee flexion device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1815
RR DMEPOS Adjust ankle ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1816
RR DMEPOS Sps ankle device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1818
RR DMEPOS Sps forearm device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1820
NU DMEPOS Soft interface material DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1821
NU DMEPOS Replacement interface spsd DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1822
RR DMEPOS Adjust ankle extension dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1823
RR DMEPOS Adjust ankle flexion device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1825
RR DMEPOS Adjust finger ext/flex devc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1826
RR DMEPOS Adjust finger extension dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1827
RR DMEPOS Adjust finger flexion device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1828
RR DMEPOS Adjust toe extension device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1829
RR DMEPOS Adjust toe flexion device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1830
RR DMEPOS Adjust toe ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1831
RR DMEPOS Static str toe dev ext/flex DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1832
RR DMEPOS Sps finger device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1840
RR DMEPOS Adj shoulder ext/flex device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1841
RR DMEPOS Static str shldr dev rom adj DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E1905
RR DMEPOS Vr cbt therapy DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2000
RR DMEPOS Gastric suction pump hme mdl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2001
RR DMEPOS Suct pum ext urine mgmt sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2100
NU DMEPOS Bld glucose monitor w voice DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2101
NU DMEPOS Bld glucose monitor w lance DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2102
NU DMEPOS Adju cgm receiver/monitor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2103
NU DMEPOS Non-adju cgm receiver/mon DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2104
NU DMEPOS Glucose monitor w cartridge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2120
RR DMEPOS Pulse gen sys tx endolymp fl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2201
NU DMEPOS Man w/ch acc seat w>=20"<24" DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2202
NU DMEPOS Seat width 24-27 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2203
NU DMEPOS Frame depth less than 22 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2204
NU DMEPOS Frame depth 22 to 25 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2205
NU DMEPOS Manual wc accessory, handrim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2206
NU DMEPOS Man wc whl lock comp repl ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2207
NU DMEPOS Crutch and cane holder DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2208
NU DMEPOS Cylinder tank carrier DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2209
NU DMEPOS Arm trough each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2210
NU DMEPOS Wheelchair bearings DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2211
NU DMEPOS Pneumatic propulsion tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2212
NU DMEPOS Pneumatic prop tire tube DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2213
NU DMEPOS Pneumatic prop tire insert DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2214
NU DMEPOS Pneumatic caster tire each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2215
NU DMEPOS Pneumatic caster tire tube DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2216
NU DMEPOS Foam filled propulsion tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2217
NU DMEPOS Foam filled caster tire each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2218
NU DMEPOS Foam propulsion tire each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2219
NU DMEPOS Foam caster tire any size ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2220
NU DMEPOS Solid propuls tire, repl, ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2221
NU DMEPOS Solid caster tire repl, each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2222
NU DMEPOS Solid caster integ whl, repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2224
NU DMEPOS Propulsion whl excl tire rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2225
NU DMEPOS Caster wheel excludes tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2226
NU DMEPOS Caster fork replacement only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2227
RR DMEPOS Gear reduction drive wheel DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2228
RR DMEPOS Mwc acc, wheelchair brake DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2231
NU DMEPOS Solid seat support base DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2298
RR DMEPOS Pwr seat elev sys for crt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2310
RR DMEPOS Electro connect btw control DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2311
RR DMEPOS Electro connect btw 2 sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2312
RR DMEPOS Mini-prop remote joystick DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2313
RR DMEPOS Pwc harness, expand control DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2321
RR DMEPOS Hand interface joystick DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2322
RR DMEPOS Mult mech switches DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2323
NU DMEPOS Special joystick handle DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2324
NU DMEPOS Chin cup interface DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2325
RR DMEPOS Sip and puff interface DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2326
RR DMEPOS Breath tube kit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2327
RR DMEPOS Head control interface mech DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2328
RR DMEPOS Head/extremity control inter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2329
RR DMEPOS Head control nonproportional DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2330
RR DMEPOS Head control proximity switc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2340
NU DMEPOS W/c wdth 20-23 in seat frame DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2341
NU DMEPOS W/c wdth 24-27 in seat frame DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2342
NU DMEPOS W/c dpth 20-21 in seat frame DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2343
NU DMEPOS W/c dpth 22-25 in seat frame DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2351
NU DMEPOS Electronic sgd interface DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2359
NU DMEPOS Gr34 sealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2360
NU DMEPOS 22nf nonsealed leadacid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2361
NU DMEPOS 22nf sealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2362
NU DMEPOS Gr24 nonsealed leadacid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2363
NU DMEPOS Gr24 sealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2364
NU DMEPOS U1nonsealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2365
NU DMEPOS U1 sealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2366
NU DMEPOS Battery charger, single mode DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2367
NU DMEPOS Battery charger, dual mode DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2368
RR DMEPOS Pwr wc drivewheel motor repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2369
RR DMEPOS Pwr wc drivewheel gear repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2370
RR DMEPOS Pwr wc dr wh motor/gear comb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2371
NU DMEPOS Gr27 sealed leadacid battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2372
NU DMEPOS Gr27 non-sealed leadacid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2373
RR DMEPOS Hand/chin ctrl spec joystick DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2374
RR DMEPOS Hand/chin ctrl std joystick DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2375
RR DMEPOS Non-expandable controller DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2376
RR DMEPOS Expandable controller, repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2377
RR DMEPOS Expandable controller, initl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2378
RR DMEPOS Pw actuator replacement DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2381
NU DMEPOS Pneum drive wheel tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2382
NU DMEPOS Tube, pneum wheel drive tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2383
NU DMEPOS Insert, pneum wheel drive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2384
NU DMEPOS Pneumatic caster tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2385
NU DMEPOS Tube, pneumatic caster tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2386
NU DMEPOS Foam filled drive wheel tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2387
NU DMEPOS Foam filled caster tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2388
NU DMEPOS Foam drive wheel tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2389
NU DMEPOS Foam caster tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2390
NU DMEPOS Solid drive wheel tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2391
NU DMEPOS Solid caster tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2392
NU DMEPOS Solid caster tire, integrate DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2394
NU DMEPOS Drive wheel excludes tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2395
NU DMEPOS Caster wheel excludes tire DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2396
NU DMEPOS Caster fork DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2397
NU DMEPOS Pwc acc, lith-based battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2398
NU DMEPOS Wc dynamic pos back hardware DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2402
RR DMEPOS Neg press wound therapy pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2500
NU DMEPOS Sgd digitized pre-rec <=8min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2502
NU DMEPOS Sgd prerec msg >8min <=20min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2504
NU DMEPOS Sgd prerec msg>20min <=40min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2506
NU DMEPOS Sgd prerec msg > 40 min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2508
NU DMEPOS Sgd spelling phys contact DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2510
NU DMEPOS Sgd w multi methods msg/accs DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2511
NU DMEPOS Sgd sftwre prgrm for pc/pda DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2512
NU DMEPOS Sgd accessory, mounting sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2513
NU DMEPOS Sgd accessory, emg sensor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2601
NU DMEPOS Gen w/c cushion wdth < 22 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2602
NU DMEPOS Gen w/c cushion wdth >=22 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2603
NU DMEPOS Skin protect wc cus wd <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2604
NU DMEPOS Skin protect wc cus wd>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2605
NU DMEPOS Position wc cush wdth <22 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2606
NU DMEPOS Position wc cush wdth>=22 in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2607
NU DMEPOS Skin pro/pos wc cus wd <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2608
NU DMEPOS Skin pro/pos wc cus wd>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2611
NU DMEPOS Gen use back cush wdth <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2612
NU DMEPOS Gen use back cush wdth>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2613
NU DMEPOS Position back cush wd <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2614
NU DMEPOS Position back cush wd>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2615
NU DMEPOS Pos back post/lat wdth <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2616
NU DMEPOS Pos back post/lat wdth>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2619
NU DMEPOS Replace cover w/c seat cush DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2620
NU DMEPOS Wc planar back cush wd <22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2621
NU DMEPOS Wc planar back cush wd>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2622
NU DMEPOS Adj skin pro w/c cus wd<22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2623
NU DMEPOS Adj skin pro wc cus wd>=22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2624
NU DMEPOS Adj skin pro/pos cus<22in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2625
NU DMEPOS Adj skin pro/pos wc cus>=22 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2626
NU DMEPOS Seo mobile arm sup att to wc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2627
NU DMEPOS Arm supp att to wc rancho ty DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2628
NU DMEPOS Mobile arm supports reclinin DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2629
NU DMEPOS Friction dampening arm supp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2630
NU DMEPOS Monosuspension arm/hand supp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2631
NU DMEPOS Elevat proximal arm support DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2632
NU DMEPOS Offset/lat rocker arm w/ela DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E2633
NU DMEPOS Mobile arm support supinator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E3000
RR DMEPOS Speech volume modulation sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
E3200
RR DMEPOS Gait modul sys, ras, px only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0068
Home Health Nursing & NH Aide Adm IV infusion drug in home
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0069
Home Health Nursing & NH Aide Adm SQ infusion drug in home
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0070
Home Health Nursing & NH Aide Adm of IV chemo drug in home
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0088
Home Health Nursing & NH Aide Adm IV drug 1st home visit
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0089
Home Health Nursing & NH Aide Adm SubQ drug 1st home visit
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0090
Home Health Nursing & NH Aide Adm IV chemo 1st home visit
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0151
Home Health Therapy PT/OT/ST Hhcp-serv of PT,ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0152
Home Health Therapy PT/OT/ST Hhcp-serv of OT,ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0153
Home Health Therapy PT/OT/ST Hhcp-svs of S/L path,ea 15mn
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0155
Home Health Nursing & NH Aide Hhcp-svs of CSW,ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0156
Home Health Nursing & NH Aide Hhcp-svs of aide,ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0157
Home Health Therapy PT/OT/ST Hhc PT assistant ea 15
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0158
Home Health Therapy PT/OT/ST Hhc OT assistant ea 15
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0159
Home Health Therapy PT/OT/ST Hhc PT maint ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0160
Home Health Therapy PT/OT/ST Hhc occup therapy ea 15
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0161
Home Health Therapy PT/OT/ST Hhc S/L path ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0237
Home Health Therapy PT/OT/ST Therapeutic procd strg endur
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0299
Home Health Nursing & NH Aide Hhs/hospice of RN ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0300
Home Health Nursing & NH Aide Hhs/hospice of LPN ea 15 min
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0341
Diagnostic & Therapeutic Percutaneous islet celltrans Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0342
Diagnostic & Therapeutic Laparoscopy islet cell trans Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0343
Diagnostic & Therapeutic Laparotomy islet cell transp Only Performed Inpatient
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0412
Diagnostic & Therapeutic Open tx iliac spine uni/bil
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0414
Diagnostic & Therapeutic Pelvic ring fx treat int fix
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0415
Diagnostic & Therapeutic Open tx post pelvic fxcture
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
G0454
Diagnostic & Therapeutic MD document visit by npp
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J0637
Drugs & Injections Caspofungin acetate inj, 5 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J0695
Drugs & Injections Ceftolozane & tazobactam inj, 50/25 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J0712
Drugs & Injections Ceftaroline fosamil inj, 10 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J0878
Drugs & Injections Daptomycin injection, 1 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J1335
Drugs & Injections Ertapenem sodium inj, 500 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J1833
Drugs & Injections Isavuconazonium inj, 1 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J2020
Drugs & Injections Linezolid injection, 200 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J2186
Drugs & Injections Meropenem & vaborbactam inj, 20 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J2248
Drugs & Injections Micafungin sodium inj, 1 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J2407
Drugs & Injections Oritavancin injection, 10 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J2770
Drugs & Injections Quinupristin/dalfopristin inj, 500 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J3090
Drugs & Injections Tedizolid phosphate inj, 1 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J3095
Drugs & Injections Telavancin injection, 10 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J3243
Drugs & Injections Tigecycline injection, 1 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
J8499
Drugs & Injections Posaconazole tab, 100 mg SNF Drug Carve-out
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0001
RR DMEPOS Standard wheelchair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0002
RR DMEPOS Stnd hemi (low seat) whlchr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0003
RR DMEPOS Lightweight wheelchair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0004
RR DMEPOS High strength ltwt whlchr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0005
NU DMEPOS Ultralightweight wheelchair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0006
RR DMEPOS Heavy duty wheelchair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0007
RR DMEPOS Extra heavy duty wheelchair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0009
RR DMEPOS Other manual wheelchair/base DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0010
RR DMEPOS Stnd wt frame power whlchr Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0011
RR DMEPOS Stnd wt pwr whlchr w control Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0012
RR DMEPOS Ltwt portbl power whlchr Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0015
RR DMEPOS Detach non-adj ht armrst rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0017
NU DMEPOS Detach adjust armrest base DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0018
NU DMEPOS Detach adjust armrst upper DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0019
NU DMEPOS Arm pad repl, each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0020
NU DMEPOS Fixed adjust armrest pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0037
NU DMEPOS Hi mount flip-up ftrest repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0038
NU DMEPOS Leg strap each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0039
NU DMEPOS Leg strap h style each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0040
NU DMEPOS Adjustable angle footplate DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0041
NU DMEPOS Large size footplate each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0042
NU DMEPOS Standard size ftplate rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0043
NU DMEPOS Ftrst lowr exten tube rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0044
NU DMEPOS Ftrst upr hanger brac rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0045
NU DMEPOS Ftrst compl assembly repl ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0046
NU DMEPOS Elev lgrst lwr exten repl ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0047
NU DMEPOS Elev legrst upr hangr rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0050
NU DMEPOS Ratchet assembly replacement DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0051
NU DMEPOS Cam rel asm ft/legrst rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0052
NU DMEPOS Swingaway detach ftrest repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0053
NU DMEPOS Elevate footrest articulate DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0056
NU DMEPOS Seat ht <17 or >=21 ltwt wc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0065
NU DMEPOS Spoke protectors DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0069
NU DMEPOS Rr whl compl sol tire rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0070
RR DMEPOS Rr whl compl pne tire rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0071
NU DMEPOS Fr cstr comp pne tire rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0072
NU DMEPOS Fr cstr semi-pne tire rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0073
NU DMEPOS Caster pin lock each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0077
NU DMEPOS Fr cstr asmb sol tire rep ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0098
NU DMEPOS Drive belt for pwc, repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0105
NU DMEPOS IV hanger DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0195
RR DMEPOS Elevating whlchair leg rests DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0455
RR DMEPOS Pump uninterrupted infusion Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0552
DMEPOS Sup/ext non-ins inf pump syr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0601
NU DMEPOS Repl batt silver oxide 1.5 v DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0602
NU DMEPOS Repl batt silver oxide 3 v DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0603
NU DMEPOS Repl batt alkaline 1.5 v DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0604
NU DMEPOS Repl batt lithium 3.6 v DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0605
NU DMEPOS Repl batt lithium 4.5 v DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0606
RR DMEPOS Aed garment w elec analysis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0607
RR DMEPOS Repl batt for aed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0608
NU DMEPOS Repl garment for aed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0609
DMEPOS Repl electrode for aed DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0672
DMEPOS Removable soft interface le DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0730
RR DMEPOS Ctrl dose inh drug deliv sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0733
NU DMEPOS 12-24hr sealed lead acid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0738
RR DMEPOS Portable gas oxygen system Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0739
DMEPOS Repair/svc dme non-oxygen eq DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0800
NU DMEPOS Pov group 1 std up to 300lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0801
NU DMEPOS Pov group 1 hd 301-450 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0802
NU DMEPOS Pov group 1 vhd 451-600 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0806
NU DMEPOS Pov group 2 std up to 300lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0807
NU DMEPOS Pov group 2 hd 301-450 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0808
NU DMEPOS Pov group 2 vhd 451-600 lbs Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0813
RR DMEPOS Pwc gp 1 std port seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0814
RR DMEPOS Pwc gp 1 std port cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0815
RR DMEPOS Pwc gp 1 std seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0816
RR DMEPOS Pwc gp 1 std cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0820
RR DMEPOS Pwc gp 2 std port seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0821
RR DMEPOS Pwc gp 2 std port cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0822
RR DMEPOS Pwc gp 2 std seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0823
RR DMEPOS Pwc gp 2 std cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0824
RR DMEPOS Pwc gp 2 hd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0825
RR DMEPOS Pwc gp 2 hd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0826
RR DMEPOS Pwc gp 2 vhd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0827
RR DMEPOS Pwc gp vhd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0828
RR DMEPOS Pwc gp 2 xtra hd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0829
RR DMEPOS Pwc gp 2 xtra hd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0835
RR DMEPOS Pwc gp2 std sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0836
RR DMEPOS Pwc gp2 std sing pow opt cap Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0837
RR DMEPOS Pwc gp 2 hd sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0838
RR DMEPOS Pwc gp 2 hd sing pow opt cap Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0839
RR DMEPOS Pwc gp2 vhd sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0840
RR DMEPOS Pwc gp2 xhd sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0841
RR DMEPOS Pwc gp2 std mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0842
RR DMEPOS Pwc gp2 std mult pow opt cap Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0843
RR DMEPOS Pwc gp2 hd mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0848
RR DMEPOS Pwc gp 3 std seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0849
RR DMEPOS Pwc gp 3 std cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0850
RR DMEPOS Pwc gp 3 hd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0851
RR DMEPOS Pwc gp 3 hd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0852
RR DMEPOS Pwc gp 3 vhd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0853
RR DMEPOS Pwc gp 3 vhd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0854
RR DMEPOS Pwc gp 3 xhd seat/back Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0855
RR DMEPOS Pwc gp 3 xhd cap chair Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0856
RR DMEPOS Pwc gp3 std sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0857
RR DMEPOS Pwc gp3 std sing pow opt cap Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0858
RR DMEPOS Pwc gp3 hd sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0859
RR DMEPOS Pwc gp3 hd sing pow opt cap Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0860
RR DMEPOS Pwc gp3 vhd sing pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0861
RR DMEPOS Pwc gp3 std mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0862
RR DMEPOS Pwc gp3 hd mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0863
RR DMEPOS Pwc gp3 vhd mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K0864
RR DMEPOS Pwc gp3 xhd mult pow opt s/b Always requires Prior Authorization
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
K1007
DMEPOS Bil hkaf pc s/d micro sensor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0112
DMEPOS Cranial cervical orthosis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0113
DMEPOS Cranial cervical torticollis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0120
DMEPOS Cerv flex n/adj foam pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0130
DMEPOS Flex thermoplastic collar mo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0140
DMEPOS Cervical semi-rigid adjustab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0150
DMEPOS Cerv semi-rig adj molded chn DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0160
DMEPOS Cerv sr wire occ/man pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0170
DMEPOS Cervical collar molded to pt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0172
DMEPOS Cerv col sr foam 2pc pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0174
DMEPOS Cerv sr 2pc thor ext pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0180
DMEPOS Cer post col occ/man sup adj DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0190
DMEPOS Cerv collar supp adj cerv ba DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0200
DMEPOS Cerv col supp adj bar & thor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0220
DMEPOS Thor rib belt custom fabrica DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0450
DMEPOS Tlso flex trunk/thor pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0452
DMEPOS Tlso flex custom fab thoraci DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0454
DMEPOS Tlso trnk sj-t9 pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0455
DMEPOS Tlso flex trnk sj-t9 pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0456
DMEPOS Tlso flex trnk sj-ss pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0457
DMEPOS Tlso flex trnk sj-ss pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0458
DMEPOS Tlso 2mod symphis-xipho pre DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0460
DMEPOS Tlso 2 shl symphys-stern cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0462
DMEPOS Tlso 3mod sacro-scap pre DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0464
DMEPOS Tlso 4mod sacro-scap pre DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0466
DMEPOS Tlso r fram soft ant pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0467
DMEPOS Tlso r fram soft pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0468
DMEPOS Tlso rig fram pelvic pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0469
DMEPOS Tlso rig fram pelvic pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0470
DMEPOS Tlso rigid frame pre subclav DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0472
DMEPOS Tlso rigid frame hyperex pre DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0480
DMEPOS Tlso rigid plastic custom fa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0482
DMEPOS Tlso rigid lined custom fab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0484
DMEPOS Tlso rigid plastic cust fab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0486
DMEPOS Tlso rigidlined cust fab two DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0488
DMEPOS Tlso rigid lined pre one pie DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0490
DMEPOS Tlso rigid plastic pre one DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0491
DMEPOS Tlso 2 piece rigid shell DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0492
DMEPOS Tlso 3 piece rigid shell DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0621
DMEPOS Sio flex pelvic/sacr pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0622
DMEPOS Sio flex pelvisacral custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0623
DMEPOS Sio rig pnl pelv/sac pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0624
DMEPOS Sio panel custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0625
DMEPOS Lo flex l1-below l5 pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0626
DMEPOS Lo sag rig pnl stays pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0627
DMEPOS Lo sag ri an/pos pnl pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0628
DMEPOS Lso flex no ri stays pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0629
DMEPOS Lso flex w/rigid stays cust DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0630
DMEPOS Lso r post pnl sj-t9 pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0631
DMEPOS Lso sag r an/pos pnl pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0632
DMEPOS Lso sag rigid frame cust DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0633
DMEPOS Lso sc r pos/lat pnl pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0634
DMEPOS Lso flexion control custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0635
DMEPOS Lso sagit rigid panel prefab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0636
DMEPOS Lso sagittal rigid panel cus DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0637
DMEPOS Lso sc r ant/pos pnl pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0638
DMEPOS Lso sag-coronal panel custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0639
DMEPOS Lso s/c shell/panel prefab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0640
DMEPOS Lso s/c shell/panel custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0641
DMEPOS Lo rig pos pnl l1-l5 pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0642
DMEPOS Lo sag ri an/pos pnl pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0643
DMEPOS Lso sag ctr rigi pos pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0648
DMEPOS Lso sag r an/pos pnl pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0649
DMEPOS Lso sc r pos/lat pnl pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0650
DMEPOS Lso sc r ant/pos pnl pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0651
DMEPOS Lso sag-co shell pnl pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0700
DMEPOS Ctlso a-p-l control molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0710
DMEPOS Ctlso a-p-l control w/ inter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0720
DMEPOS Ctlso a-p-l control custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0810
DMEPOS Halo cervical into jckt vest DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0820
DMEPOS Halo cervical into body jack DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0830
DMEPOS Halo cerv into milwaukee typ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0859
DMEPOS Mri compatible system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0861
DMEPOS Halo repl liner/interface DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0970
DMEPOS Tlso corset front DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0972
DMEPOS Lso corset front DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0974
DMEPOS Tlso full corset DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0976
DMEPOS Lso full corset DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0978
DMEPOS Axillary crutch extension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0980
DMEPOS Peroneal straps pair pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0982
DMEPOS Stocking sup grips 4 pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L0984
DMEPOS Protect body sock ea pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1000
DMEPOS Ctlso milwauke initial model DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1001
DMEPOS Ctlso infant immobilizer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1005
DMEPOS Tension based scoliosis orth DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1006
DMEPOS Scoliosis orth sag/ cor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1007
DMEPOS Scoliosis orth s-c custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1010
DMEPOS Ctlso axilla sling DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1020
DMEPOS Kyphosis pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1025
DMEPOS Kyphosis pad floating DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1030
DMEPOS Lumbar bolster pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1040
DMEPOS Lumbar or lumbar rib pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1050
DMEPOS Sternal pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1060
DMEPOS Thoracic pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1070
DMEPOS Trapezius sling DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1080
DMEPOS Outrigger DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1085
DMEPOS Outrigger bil w/ vert extens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1090
DMEPOS Lumbar sling DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1100
DMEPOS Ring flange plastic/leather DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1110
DMEPOS Ring flange plas/leather mol DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1120
DMEPOS Covers for upright each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1200
DMEPOS Furnsh initial orthosis only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1210
DMEPOS Lateral thoracic extension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1220
DMEPOS Anterior thoracic extension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1230
DMEPOS Milwaukee type superstructur DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1240
DMEPOS Lumbar derotation pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1250
DMEPOS Anterior asis pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1260
DMEPOS Anterior thoracic derotation DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1270
DMEPOS Abdominal pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1280
DMEPOS Rib gusset (elastic) each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1290
DMEPOS Lateral trochanteric pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1300
DMEPOS Body jacket mold to patient DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1310
DMEPOS Post-operative body jacket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1600
DMEPOS Ho flex frejka w/cov pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1610
DMEPOS Ho frejka cov only pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1620
DMEPOS Ho flex pavlik harns pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1630
DMEPOS Abduct control hip semi-flex DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1640
DMEPOS Pelv band/spread bar thigh c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1650
DMEPOS Ho abduction hip adjustable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1652
DMEPOS Ho bi thighcuffs w sprdr bar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1653
DMEPOS Ho abduction static ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1660
DMEPOS Ho abduction static plastic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1680
DMEPOS Pelvic & hip control thigh c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1681
DMEPOS Ho bilateral hip abduction DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1685
DMEPOS Post-op hip abduct custom fa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1686
DMEPOS Ho post-op hip abduction DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1690
DMEPOS Combination bilateral ho DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1700
DMEPOS Leg perthes orth toronto typ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1710
DMEPOS Legg perthes orth newington DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1720
DMEPOS Legg perthes orthosis trilat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1730
DMEPOS Legg perthes orth scottish r DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1755
DMEPOS Legg perthes patten bottom t DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1810
DMEPOS Ko elastic with joints DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1812
DMEPOS Ko elastic w/joints pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1820
DMEPOS Ko elas w/ condyle pads & jo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1821
DMEPOS Ko elas w/ condyle pads otf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1830
DMEPOS Ko immob canvas long pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1831
DMEPOS Knee orth pos locking joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1832
DMEPOS Ko adj jnt pos r sup pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1833
DMEPOS Ko adj jnt pos r sup pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1834
DMEPOS Ko w/0 joint rigid molded to DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1836
DMEPOS Ko rigid w/o joints pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1840
DMEPOS Ko derot ant cruciate custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1843
DMEPOS Ko single upright pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1844
DMEPOS Ko w/adj jt rot cntrl molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1845
DMEPOS Ko double upright pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1846
DMEPOS Ko w adj flex/ext rotat mold DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1847
DMEPOS Ko dbl upright w/air pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1848
DMEPOS Ko dbl upright w/air pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1850
DMEPOS Ko swedish type pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1851
DMEPOS Ko single upright prefab ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1852
DMEPOS Ko double upright prefab ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1860
DMEPOS Ko supracondylar socket mold DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1900
DMEPOS Afo sprng wir drsflx calf bd DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1902
DMEPOS Afo ankle gauntlet pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1904
DMEPOS Afo molded ankle gauntlet DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1906
DMEPOS Afo multilig ank sup pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1907
DMEPOS Afo supramalleolar custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1910
DMEPOS Afo sing bar clasp attach sh DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1920
DMEPOS Afo sing upright w/ adjust s DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1930
DMEPOS Afo plastic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1932
DMEPOS Afo rig ant tib prefab tcf/= DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1933
DMEPOS Afo rig ant tib tcf/= ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1940
DMEPOS Afo molded to patient plasti DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1945
DMEPOS Afo molded plas rig ant tib DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1950
DMEPOS Afo spiral molded to pt plas DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1951
DMEPOS Afo spiral prefabricated DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1952
DMEPOS Afo spiral prefab ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1960
DMEPOS Afo pos solid ank plastic mo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1970
DMEPOS Afo plastic molded w/ankle j DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1971
DMEPOS Afo w/ankle joint, prefab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1980
DMEPOS Afo sing solid stirrup calf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L1990
DMEPOS Afo doub solid stirrup calf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2000
DMEPOS Kafo sing fre stirr thi/calf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2005
DMEPOS Kafo sng/dbl mechanical act DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2006
DMEPOS Kaf sng/dbl swg/stn mcpr cus DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2010
DMEPOS Kafo sng solid stirrup w/o j DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2020
DMEPOS Kafo dbl solid stirrup band/ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2030
DMEPOS Kafo dbl solid stirrup w/o j DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2034
DMEPOS Kafo pla sin up w/wo k/a cus DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2035
DMEPOS Kafo plastic pediatric size DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2036
DMEPOS Kafo plas doub free knee mol DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2037
DMEPOS Kafo plas sing free knee mol DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2038
DMEPOS Kafo w/o joint multi-axis an DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2040
DMEPOS Hkafo torsion bil rot straps DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2050
DMEPOS Hkafo torsion cable hip pelv DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2060
DMEPOS Hkafo torsion ball bearing j DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2070
DMEPOS Hkafo torsion unilat rot str DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2080
DMEPOS Hkafo unilat torsion cable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2090
DMEPOS Hkafo unilat torsion ball br DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2106
DMEPOS Afo tib fx cast plaster mold DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2108
DMEPOS Afo tib fx cast molded to pt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2112
DMEPOS Afo tibial fracture soft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2114
DMEPOS Afo tib fx semi-rigid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2116
DMEPOS Afo tibial fracture rigid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2126
DMEPOS Kafo fem fx cast thermoplas DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2128
DMEPOS Kafo fem fx cast molded to p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2132
DMEPOS Kafo femoral fx cast soft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2134
DMEPOS Kafo fem fx cast semi-rigid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2136
DMEPOS Kafo femoral fx cast rigid DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2180
DMEPOS Plas shoe insert w ank joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2182
DMEPOS Drop lock knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2184
DMEPOS Limited motion knee joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2186
DMEPOS Adj motion knee jnt lerman t DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2188
DMEPOS Quadrilateral brim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2190
DMEPOS Waist belt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2192
DMEPOS Pelvic band & belt thigh fla DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2200
DMEPOS Limited ankle motion ea jnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2210
DMEPOS Dorsiflexion assist each joi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2220
DMEPOS Dorsi & plantar flex ass/res DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2230
DMEPOS Split flat caliper stirr & p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2232
DMEPOS Rocker bottom, contact afo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2240
DMEPOS Round caliper and plate atta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2250
DMEPOS Foot plate molded stirrup at DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2260
DMEPOS Reinforced solid stirrup DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2265
DMEPOS Long tongue stirrup DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2270
DMEPOS Varus/valgus strap padded/li DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2275
DMEPOS Plastic mod low ext pad/line DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2280
DMEPOS Molded inner boot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2300
DMEPOS Abduction bar jointed adjust DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2310
DMEPOS Abduction bar-straight DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2320
DMEPOS Non-molded lacer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2330
DMEPOS Lacer molded to patient mode DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2335
DMEPOS Anterior swing band DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2340
DMEPOS Pre-tibial shell molded to p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2350
DMEPOS Prosthetic type socket molde DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2360
DMEPOS Extended steel shank DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2370
DMEPOS Patten bottom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2375
DMEPOS Torsion ank & half solid sti DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2380
DMEPOS Torsion straight knee joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2385
DMEPOS Straight knee joint heavy du DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2387
DMEPOS Add le poly knee custom kafo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2390
DMEPOS Offset knee joint each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2395
DMEPOS Offset knee joint heavy duty DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2397
DMEPOS Suspension sleeve lower ext DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2405
DMEPOS Knee joint drop lock ea jnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2415
DMEPOS Knee joint cam lock each joi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2425
DMEPOS Knee disc/dial lock/adj flex DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2430
DMEPOS Knee jnt ratchet lock ea jnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2492
DMEPOS Knee lift loop drop lock rin DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2500
DMEPOS Thi/glut/ischia wgt bearing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2510
DMEPOS Th/wght bear quad-lat brim m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2520
DMEPOS Th/wght bear quad-lat brim c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2525
DMEPOS Th/wght bear nar m-l brim mo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2526
DMEPOS Th/wght bear nar m-l brim cu DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2530
DMEPOS Thigh/wght bear lacer non-mo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2540
DMEPOS Thigh/wght bear lacer molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2550
DMEPOS Thigh/wght bear high roll cu DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2570
DMEPOS Hip clevis type 2 posit jnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2580
DMEPOS Pelvic control pelvic sling DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2600
DMEPOS Hip clevis/thrust bearing fr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2610
DMEPOS Hip clevis/thrust bearing lo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2620
DMEPOS Pelvic control hip heavy dut DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2622
DMEPOS Hip joint adjustable flexion DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2624
DMEPOS Hip adj flex ext abduct cont DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2627
DMEPOS Plastic mold recipro hip & c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2628
DMEPOS Metal frame recipro hip & ca DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2630
DMEPOS Pelvic control band & belt u DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2640
DMEPOS Pelvic control band & belt b DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2650
DMEPOS Pelv & thor control gluteal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2660
DMEPOS Thoracic control thoracic ba DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2670
DMEPOS Thorac cont paraspinal uprig DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2680
DMEPOS Thorac cont lat support upri DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2750
DMEPOS Plating chrome/nickel pr bar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2755
DMEPOS Carbon graphite lamination DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2760
DMEPOS Extension per extension per DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2768
DMEPOS Ortho sidebar disconnect DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2780
DMEPOS Non-corrosive finish DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2785
DMEPOS Drop lock retainer each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2795
DMEPOS Knee control full kneecap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2800
DMEPOS Knee cap medial or lateral p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2810
DMEPOS Knee control condylar pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2820
DMEPOS Soft interface below knee se DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2830
DMEPOS Soft interface above knee se DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2840
DMEPOS Tibial length sock fx or equ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L2850
DMEPOS Femoral lgth sock fx or equa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3000
DMEPOS Ft insert ucb berkeley shell DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3001
DMEPOS Foot insert remov molded spe DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3002
DMEPOS Foot insert plastazote or eq DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3003
DMEPOS Foot insert silicone gel eac DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3010
DMEPOS Foot longitudinal arch suppo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3020
DMEPOS Foot longitud/metatarsal sup DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3030
DMEPOS Foot arch support remov prem DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3031
DMEPOS Foot lamin/prepreg composite DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3040
DMEPOS Ft arch suprt premold longit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3050
DMEPOS Foot arch supp premold metat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3060
DMEPOS Foot arch supp longitud/meta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3070
DMEPOS Arch suprt att to sho longit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3080
DMEPOS Arch supp att to shoe metata DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3090
DMEPOS Arch supp att to shoe long/m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3100
DMEPOS Hallus-valgus nt dyn pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3140
DMEPOS Abduction rotation bar shoe DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3150
DMEPOS Abduct rotation bar w/o shoe DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3170
DMEPOS Foot plas heel stabi pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3224
DMEPOS Woman's shoe oxford brace DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3225
DMEPOS Man's shoe oxford brace DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3300
DMEPOS Sho lift taper to metatarsal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3310
DMEPOS Shoe lift elev heel/sole neo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3330
DMEPOS Lifts elevation metal extens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3332
DMEPOS Shoe lifts tapered to one-ha DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3334
DMEPOS Shoe lifts elevation heel /i DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3340
DMEPOS Shoe wedge sach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3350
DMEPOS Shoe heel wedge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3360
DMEPOS Shoe sole wedge outside sole DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3370
DMEPOS Shoe sole wedge between sole DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3380
DMEPOS Shoe clubfoot wedge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3390
DMEPOS Shoe outflare wedge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3400
DMEPOS Shoe metatarsal bar wedge ro DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3410
DMEPOS Shoe metatarsal bar between DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3420
DMEPOS Full sole/heel wedge btween DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3430
DMEPOS Sho heel count plast reinfor DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3440
DMEPOS Heel leather reinforced DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3450
DMEPOS Shoe heel sach cushion type DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3455
DMEPOS Shoe heel new leather standa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3460
DMEPOS Shoe heel new rubber standar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3465
DMEPOS Shoe heel thomas with wedge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3470
DMEPOS Shoe heel thomas extend to b DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3480
DMEPOS Shoe heel pad & depress for DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3500
DMEPOS Ortho shoe add leather insol DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3510
DMEPOS Orthopedic shoe add rub insl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3520
DMEPOS O shoe add felt w leath insl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3530
DMEPOS Ortho shoe add half sole DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3540
DMEPOS Ortho shoe add full sole DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3550
DMEPOS O shoe add standard toe tap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3560
DMEPOS O shoe add horseshoe toe tap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3570
DMEPOS O shoe add instep extension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3580
DMEPOS O shoe add instep velcro clo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3590
DMEPOS O shoe convert to sof counte DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3595
DMEPOS Ortho shoe add march bar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3600
DMEPOS Trans shoe calip plate exist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3610
DMEPOS Trans shoe caliper plate new DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3620
DMEPOS Trans shoe solid stirrup exi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3630
DMEPOS Trans shoe solid stirrup new DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3640
DMEPOS Shoe dennis browne splint bo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3650
DMEPOS So 8 abd restraint pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3660
DMEPOS So 8 ab rstr can/web pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3670
DMEPOS So acro/clav can web pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3671
DMEPOS So cap design w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3674
DMEPOS So airplane w/wo joint cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3675
DMEPOS So vest canvas/web pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3702
DMEPOS Eo w/o joints cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3710
DMEPOS Eo elas w/metal jnts pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3720
DMEPOS Forearm/arm cuffs free motio DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3730
DMEPOS Forearm/arm cuffs ext/flex a DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3740
DMEPOS Cuffs adj lock w/ active con DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3760
DMEPOS Eo adj jt prefab custom fit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3761
DMEPOS Eo, adj lock joint prefab ot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3762
DMEPOS Eo rigid w/o joints pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3763
DMEPOS Ewho rigid w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3764
DMEPOS Ewho w/joint(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3765
DMEPOS Ewhfo rigid w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3766
DMEPOS Ewhfo w/joint(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3806
DMEPOS Whfo w/joint(s) custom fab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3807
DMEPOS Whfo w/o joints pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3808
DMEPOS Whfo, rigid w/o joints DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3809
DMEPOS Whfo w/o joints pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3900
DMEPOS Hinge extension/flex wrist/f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3901
DMEPOS Hinge ext/flex wrist finger DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3904
DMEPOS Whfo electric custom fitted DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3905
DMEPOS Who w/nontorsion jnt(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3906
DMEPOS Who w/o joints cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3908
DMEPOS Who cock-up nonmolde pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3912
DMEPOS Hfo flexion glove pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3913
DMEPOS Hfo w/o joints cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3915
DMEPOS Who nontorsion jnts pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3916
DMEPOS Who nontorsion jnts pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3917
DMEPOS Metacarp fx orthosis pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3918
DMEPOS Metacarp fx orthosis pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3919
DMEPOS Ho w/o joints cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3921
DMEPOS Hfo w/joint(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3923
DMEPOS Hfo without joints pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3924
DMEPOS Hfo without joints pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3925
DMEPOS Fo pip dip jnt/sprng pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3927
DMEPOS Fo pip dip no jt spr pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3929
DMEPOS Hfo nontorsion jnts pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3930
DMEPOS Hfo nontorsion jnts pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3931
DMEPOS Whfo nontorsion joint prefab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3933
DMEPOS Fo w/o joints cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3935
DMEPOS Fo nontorsion joint cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3956
DMEPOS Add joint upper ext orthosis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3960
DMEPOS Sewho airplan desig abdu pos DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3961
DMEPOS Sewho cap design w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3962
DMEPOS Sewho erbs palsey design abd DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3967
DMEPOS Sewho airplane w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3971
DMEPOS Sewho cap design w/jnt(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3973
DMEPOS Sewho airplane w/jnt(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3975
DMEPOS Sewhfo cap design w/o jnt cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3976
DMEPOS Sewhfo airplane w/o jnts cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3977
DMEPOS Sewhfo cap desgn w/jnt(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3978
DMEPOS Sewhfo airplane w/jnt(s) cf DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3980
DMEPOS Up ext fx orthos humeral nos DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3981
DMEPOS Ue fx orth shoul cap forearm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3982
DMEPOS Upper ext fx orthosis rad/ul DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3984
DMEPOS Upper ext fx orthosis wrist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L3995
DMEPOS Sock fracture or equal each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4000
DMEPOS Repl girdle milwaukee orth DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4002
DMEPOS Replace strap, any orthosis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4010
DMEPOS Replace trilateral socket br DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4020
DMEPOS Replace quadlat socket brim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4030
DMEPOS Replace socket brim cust fit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4040
DMEPOS Replace molded thigh lacer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4045
DMEPOS Replace non-molded thigh lac DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4050
DMEPOS Replace molded calf lacer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4055
DMEPOS Replace non-molded calf lace DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4060
DMEPOS Replace high roll cuff DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4070
DMEPOS Replace prox & dist upright DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4080
DMEPOS Repl met band kafo-afo prox DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4090
DMEPOS Repl met band kafo-afo calf/ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4100
DMEPOS Repl leath cuff kafo prox th DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4110
DMEPOS Repl leath cuff kafo-afo cal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4130
DMEPOS Replace pretibial shell DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4205
DMEPOS Ortho dvc repair per 15 min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4350
DMEPOS Ankle control ortho pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4360
DMEPOS Pneumat walking boot pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4361
DMEPOS Pneuma/vac walk boot pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4370
DMEPOS Pneum full leg splnt pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4387
DMEPOS Non-pneum walk boot pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4392
DMEPOS Replace afo soft interface DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4394
DMEPOS Replace foot drop spint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4396
DMEPOS Static or dynami afo pre cst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4397
DMEPOS Static or dynami afo pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4398
DMEPOS Foot drop splint pre ots DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L4631
DMEPOS Afo, walk boot type, cus fab DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5000
DMEPOS Sho insert w arch toe filler DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5010
DMEPOS Mold socket ank hgt w/ toe f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5020
DMEPOS Tibial tubercle hgt w/ toe f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5050
DMEPOS Ank symes mold sckt sach ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5060
DMEPOS Symes met fr leath socket ar DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5100
DMEPOS Molded socket shin sach foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5105
DMEPOS Plast socket jts/thgh lacer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5150
DMEPOS Mold sckt ext knee shin sach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5160
DMEPOS Mold socket bent knee shin s DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5200
DMEPOS Kne sing axis fric shin sach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5210
DMEPOS No knee/ankle joints w/ ft b DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5220
DMEPOS No knee joint with artic ali DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5230
DMEPOS Fem focal defic constant fri DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5250
DMEPOS Hip canad sing axi cons fric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5270
DMEPOS Tilt table locking hip sing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5280
DMEPOS Hemipelvect canad sing axis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5301
DMEPOS Bk mold socket sach ft endo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5312
DMEPOS Knee disart, sach ft, endo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5321
DMEPOS Ak open end sach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5331
DMEPOS Hip disart canadian sach ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5341
DMEPOS Hemipelvectomy canadian sach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5400
DMEPOS Postop dress & 1 cast chg bk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5410
DMEPOS Postop dsg bk ea add cast ch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5420
DMEPOS Postop dsg & 1 cast chg ak/d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5430
DMEPOS Postop dsg ak ea add cast ch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5450
DMEPOS Postop app non-wgt bear dsg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5460
DMEPOS Postop app non-wgt bear dsg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5500
DMEPOS Init bk ptb plaster direct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5505
DMEPOS Init ak ischal plstr direct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5510
DMEPOS Prep bk ptb plaster molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5520
DMEPOS Perp bk ptb thermopls direct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5530
DMEPOS Prep bk ptb thermopls molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5535
DMEPOS Prep bk ptb open end socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5540
DMEPOS Prep bk ptb laminated socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5560
DMEPOS Prep ak ischial plast molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5570
DMEPOS Prep ak ischial direct form DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5580
DMEPOS Prep ak ischial thermo mold DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5585
DMEPOS Prep ak ischial open end DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5590
DMEPOS Prep ak ischial laminated DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5595
DMEPOS Hip disartic sach thermopls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5600
DMEPOS Hip disart sach laminat mold DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5610
DMEPOS Above knee hydracadence DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5611
DMEPOS Ak 4 bar link w/fric swing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5613
DMEPOS Ak 4 bar ling w/hydraul swig DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5614
DMEPOS 4-bar link above knee w/swng DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5615
DMEPOS Ak 4 bar link hydl swg/stanc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5616
DMEPOS Ak univ multiplex sys frict DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5617
DMEPOS Ak/bk self-aligning unit ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5618
DMEPOS Test socket symes DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5620
DMEPOS Test socket below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5622
DMEPOS Test socket knee disarticula DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5624
DMEPOS Test socket above knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5626
DMEPOS Test socket hip disarticulat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5628
DMEPOS Test socket hemipelvectomy DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5629
DMEPOS Below knee acrylic socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5630
DMEPOS Syme typ expandabl wall sckt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5631
DMEPOS Ak/knee disartic acrylic soc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5632
DMEPOS Symes type ptb brim design s DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5634
DMEPOS Symes type poster opening so DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5636
DMEPOS Symes type medial opening so DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5637
DMEPOS Below knee total contact DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5638
DMEPOS Below knee leather socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5639
DMEPOS Below knee wood socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5640
DMEPOS Knee disarticulat leather so DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5642
DMEPOS Above knee leather socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5643
DMEPOS Hip flex inner socket ext fr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5644
DMEPOS Above knee wood socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5645
DMEPOS Bk flex inner socket ext fra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5646
DMEPOS Below knee cushion socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5647
DMEPOS Below knee suction socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5648
DMEPOS Above knee cushion socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5649
DMEPOS Isch containmt/narrow m-l so DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5650
DMEPOS Tot contact ak/knee disart s DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5651
DMEPOS Ak flex inner socket ext fra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5652
DMEPOS Suction susp ak/knee disart DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5653
DMEPOS Knee disart expand wall sock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5654
DMEPOS Socket insert symes DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5655
DMEPOS Socket insert below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5656
DMEPOS Socket insert knee articulat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5657
DMEPOS Add low ext man aut vol any DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5658
DMEPOS Socket insert above knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5661
DMEPOS Multi-durometer symes DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5665
DMEPOS Multi-durometer below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5666
DMEPOS Below knee cuff suspension DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5668
DMEPOS Bk molded distal cushion DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5670
DMEPOS Bk molded supracondylar susp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5671
DMEPOS Bk/ak locking mechanism DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5672
DMEPOS Bk removable medial brim sus DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5673
DMEPOS Socket insert w lock mech DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5676
DMEPOS Bk knee joints single axis p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5677
DMEPOS Bk knee joints polycentric p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5678
DMEPOS Bk joint covers pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5679
DMEPOS Socket insert w/o lock mech DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5680
DMEPOS Bk thigh lacer non-molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5681
DMEPOS Intl custm cong/latyp insert DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5682
DMEPOS Bk thigh lacer glut/ischia m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5683
DMEPOS Initial custom socket insert DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5684
DMEPOS Bk fork strap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5685
DMEPOS Below knee sus/seal sleeve DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5686
DMEPOS Bk back check DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5688
DMEPOS Bk waist belt webbing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5690
DMEPOS Bk waist belt padded and lin DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5692
DMEPOS Ak pelvic control belt light DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5694
DMEPOS Ak pelvic control belt pad/l DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5695
DMEPOS Ak sleeve susp neoprene/equa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5696
DMEPOS Ak/knee disartic pelvic join DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5697
DMEPOS Ak/knee disartic pelvic band DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5698
DMEPOS Ak/knee disartic silesian ba DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5699
DMEPOS Shoulder harness DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5700
DMEPOS Replace socket below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5701
DMEPOS Replace socket above knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5702
DMEPOS Replace socket hip DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5703
DMEPOS Symes ankle w/o (sach) foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5704
DMEPOS Custom shape cover bk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5705
DMEPOS Custom shape cover ak DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5706
DMEPOS Custom shape cvr knee disart DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5707
DMEPOS Custom shape cvr hip disart DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5710
DMEPOS Kne-shin exo sng axi mnl loc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5711
DMEPOS Knee-shin exo mnl lock ultra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5712
DMEPOS Knee-shin exo frict swg & st DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5714
DMEPOS Knee-shin exo variable frict DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5716
DMEPOS Knee-shin exo mech stance ph DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5718
DMEPOS Knee-shin exo frct swg & sta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5722
DMEPOS Knee-shin pneum swg frct exo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5724
DMEPOS Knee-shin exo fluid swing ph DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5726
DMEPOS Knee-shin ext jnts fld swg e DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5728
DMEPOS Knee-shin fluid swg & stance DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5780
DMEPOS Knee-shin pneum/hydra pneum DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5781
DMEPOS Lower limb pros vacuum pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5782
DMEPOS Hd low limb pros vacuum pump DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5783
DMEPOS Add low ext mec limb vol sys DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5785
DMEPOS Exoskeletal bk ultralt mater DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5790
DMEPOS Exoskeletal ak ultra-light m DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5795
DMEPOS Exoskel hip ultra-light mate DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5810
DMEPOS Endoskel knee-shin mnl lock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5811
DMEPOS Endo knee-shin mnl lck ultra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5812
DMEPOS Endo knee-shin frct swg & st DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5814
DMEPOS Endo knee-shin hydral swg ph DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5816
DMEPOS Endo knee-shin polyc mch sta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5818
DMEPOS Endo knee-shin frct swg & st DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5822
DMEPOS Endo knee-shin pneum swg frc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5824
DMEPOS Endo knee-shin fluid swing p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5826
DMEPOS Miniature knee joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5827
DMEPOS Endo knee shin single axis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5828
DMEPOS Endo knee-shin fluid swg/sta DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5830
DMEPOS Endo knee-shin pneum/swg pha DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5840
DMEPOS Multi-axial knee/shin system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5841
DMEPOS Addition endoskletl knee-shi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5845
DMEPOS Knee-shin sys stance flexion DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5848
DMEPOS Knee-shin sys hydraul stance DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5850
DMEPOS Endo ak/hip knee extens assi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5855
DMEPOS Mech hip extension assist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5856
DMEPOS Elec knee-shin swing/stance DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5857
DMEPOS Elec knee-shin swing only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5858
DMEPOS Stance phase only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5859
DMEPOS Knee-shin pro flex/ext cont DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5910
DMEPOS Endo below knee alignable sy DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5920
DMEPOS Endo ak/hip alignable system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5925
DMEPOS Above knee manual lock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5926
DMEPOS Endoskel posit rotat unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5930
DMEPOS High activity knee frame DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5940
DMEPOS Endo bk ultra-light material DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5950
DMEPOS Endo ak ultra-light material DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5960
DMEPOS Endo hip ultra-light materia DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5961
DMEPOS Endo poly hip, pneu/hyd/rot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5962
DMEPOS Below knee flex cover system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5964
DMEPOS Above knee flex cover system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5966
DMEPOS Hip flexible cover system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5968
DMEPOS Multiaxial ankle w dorsiflex DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5970
DMEPOS Foot external keel sach foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5971
DMEPOS Sach foot, replacement DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5972
DMEPOS Flexible keel foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5973
DMEPOS Ank-foot sys dors-plant flex DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5974
DMEPOS Foot single axis ankle/foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5975
DMEPOS Combo ankle/foot prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5976
DMEPOS Energy storing foot DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5978
DMEPOS Ft prosth multiaxial ankl/ft DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5979
DMEPOS Multi-axial ankle/ft prosth DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5980
DMEPOS Flex foot system DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5981
DMEPOS Flex-walk sys low ext prosth DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5982
DMEPOS Exoskeletal axial rotation u DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5984
DMEPOS Endoskeletal axial rotation DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5985
DMEPOS Lwr ext dynamic prosth pylon DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5986
DMEPOS Multi-axial rotation unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5987
DMEPOS Shank ft w vert load pylon DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5988
DMEPOS Vertical shock reducing pylo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5990
DMEPOS User adjustable heel height DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L5991
DMEPOS User adjustable heel height DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6000
DMEPOS Part hand thumb rem DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6010
DMEPOS Part hand little/ring DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6020
DMEPOS Part hand no fingers DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6026
DMEPOS Part hand myo exclu term dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6034
DMEPOS Part hand finger distal amp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6035
DMEPOS Prosthetic digit mechanical DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6036
DMEPOS Prosthetic thumb mechanical DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6038
DMEPOS Multiax rotation attachment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6039
DMEPOS Passive custom digit/thumb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6050
DMEPOS Wrst mld sck flx hng tri pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6055
DMEPOS Wrst mold sock w/exp interfa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6100
DMEPOS Elb mold sock flex hinge pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6110
DMEPOS Elbow mold sock suspension t DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6120
DMEPOS Elbow mold doub splt soc ste DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6130
DMEPOS Elbow stump activated lock h DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6200
DMEPOS Elbow mold outsid lock hinge DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6205
DMEPOS Elbow molded w/ expand inter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6250
DMEPOS Elbow inter loc elbow forarm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6300
DMEPOS Shlder disart int lock elbow DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6310
DMEPOS Shoulder passive restor comp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6320
DMEPOS Shoulder passive restor cap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6350
DMEPOS Thoracic intern lock elbow DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6360
DMEPOS Thoracic passive restor comp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6370
DMEPOS Thoracic passive restor cap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6380
DMEPOS Postop dsg cast chg wrst/elb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6382
DMEPOS Postop dsg cast chg elb dis/ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6384
DMEPOS Postop dsg cast chg shlder/t DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6386
DMEPOS Postop ea cast chg & realign DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6388
DMEPOS Postop applicat rigid dsg on DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6400
DMEPOS Below elbow prosth tiss shap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6450
DMEPOS Elb disart prosth tiss shap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6500
DMEPOS Above elbow prosth tiss shap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6550
DMEPOS Shldr disar prosth tiss shap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6570
DMEPOS Scap thorac prosth tiss shap DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6580
DMEPOS Wrist/elbow bowden cable mol DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6582
DMEPOS Wrist/elbow bowden cbl dir f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6584
DMEPOS Elbow fair lead cable molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6586
DMEPOS Elbow fair lead cable dir fo DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6588
DMEPOS Shdr fair lead cable molded DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6590
DMEPOS Shdr fair lead cable direct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6600
DMEPOS Polycentric hinge pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6605
DMEPOS Single pivot hinge pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6610
DMEPOS Flexible metal hinge pair DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6611
DMEPOS Additional switch, ext power DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6615
DMEPOS Disconnect locking wrist uni DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6616
DMEPOS Disconnect insert locking wr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6620
DMEPOS Flexion/extension wrist unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6621
DMEPOS Flex/ext wrist w/wo friction DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6623
DMEPOS Spring-ass rot wrst w/ latch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6624
DMEPOS Flex/ext/rotation wrist unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6625
DMEPOS Rotation wrst w/ cable lock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6628
DMEPOS Quick disconn hook adapter o DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6629
DMEPOS Lamination collar w/ couplin DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6630
DMEPOS Stainless steel any wrist DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6632
DMEPOS Latex suspension sleeve each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6635
DMEPOS Lift assist for elbow DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6637
DMEPOS Nudge control elbow lock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6638
DMEPOS Elec lock on manual pw elbow DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6640
DMEPOS Shoulder abduction joint pai DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6641
DMEPOS Excursion amplifier pulley t DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6642
DMEPOS Excursion amplifier lever ty DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6645
DMEPOS Shoulder flexion-abduction j DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6646
DMEPOS Multipo locking shoulder jnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6647
DMEPOS Shoulder lock actuator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6648
DMEPOS Ext pwrd shlder lock/unlock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6650
DMEPOS Shoulder universal joint DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6655
DMEPOS Standard control cable extra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6660
DMEPOS Heavy duty control cable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6665
DMEPOS Teflon or equal cable lining DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6670
DMEPOS Hook to hand cable adapter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6672
DMEPOS Harness chest/shlder saddle DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6675
DMEPOS Harness figure of 8 sing con DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6676
DMEPOS Harness figure of 8 dual con DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6677
DMEPOS Ue triple control harness DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6680
DMEPOS Test sock wrist disart/bel e DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6682
DMEPOS Test sock elbw disart/above DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6684
DMEPOS Test socket shldr disart/tho DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6686
DMEPOS Suction socket DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6687
DMEPOS Frame typ socket bel elbow/w DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6688
DMEPOS Frame typ sock above elb/dis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6689
DMEPOS Frame typ socket shoulder di DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6690
DMEPOS Frame typ sock interscap-tho DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6691
DMEPOS Removable insert each DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6692
DMEPOS Silicone gel insert or equal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6693
DMEPOS Lockingelbow forearm cntrbal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6694
DMEPOS Elbow socket ins use w/lock DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6695
DMEPOS Elbow socket ins use w/o lck DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6696
DMEPOS Cus elbo skt in for con/atyp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6697
DMEPOS Cus elbo skt in not con/atyp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6698
DMEPOS Below/above elbow lock mech DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6700
DMEPOS Ue add ext power myoel DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6703
DMEPOS Term dev, passive hand mitt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6704
DMEPOS Term dev, sport/rec/work att DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6706
DMEPOS Term dev mech hook vol open DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6707
DMEPOS Term dev mech hook vol close DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6708
DMEPOS Term dev mech hand vol open DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6709
DMEPOS Term dev mech hand vol close DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6711
DMEPOS Ped term dev, hook, vol open DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6712
DMEPOS Ped term dev, hook, vol clos DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6713
DMEPOS Ped term dev, hand, vol open DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6714
DMEPOS Ped term dev, hand, vol clos DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6715
DMEPOS Term device, multi art digit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6721
DMEPOS Hook/hand, hvy dty, vol open DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6722
DMEPOS Hook/hand, hvy dty, vol clos DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6805
DMEPOS Term dev modifier wrist unit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6810
DMEPOS Term dev precision pinch dev DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6880
DMEPOS Elec hand ind art digits DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6881
DMEPOS Term dev auto grasp feature DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6882
DMEPOS Microprocessor control uplmb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6883
DMEPOS Replc sockt below e/w disa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6884
DMEPOS Replc sockt above elbow disa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6885
DMEPOS Replc sockt shldr dis/interc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6890
DMEPOS Prefab glove for term device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6895
DMEPOS Custom glove for term device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6900
DMEPOS Hand restorat thumb/1 finger DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6905
DMEPOS Hand restoration multiple fi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6910
DMEPOS Hand restoration no fingers DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6915
DMEPOS Hand restoration replacmnt g DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6920
DMEPOS Wrist disarticul switch ctrl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6925
DMEPOS Wrist disart myoelectronic c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6930
DMEPOS Below elbow switch control DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6935
DMEPOS Below elbow myoelectronic ct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6940
DMEPOS Elbow disarticulation switch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6945
DMEPOS Elbow disart myoelectronic c DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6950
DMEPOS Above elbow switch control DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6955
DMEPOS Above elbow myoelectronic ct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6960
DMEPOS Shldr disartic switch contro DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6965
DMEPOS Shldr disartic myoelectronic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6970
DMEPOS Interscapular-thor switch ct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L6975
DMEPOS Interscap-thor myoelectronic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7007
DMEPOS Adult electric hand DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7008
DMEPOS Pediatric electric hand DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7009
DMEPOS Adult electric hook DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7040
DMEPOS Prehensile actuator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7045
DMEPOS Pediatric electric hook DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7170
DMEPOS Electronic elbow hosmer swit DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7180
DMEPOS Electronic elbow sequential DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7181
DMEPOS Electronic elbo simultaneous DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7185
DMEPOS Electron elbow adolescent sw DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7186
DMEPOS Electron elbow child switch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7190
DMEPOS Elbow adolescent myoelectron DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7191
DMEPOS Elbow child myoelectronic ct DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7259
DMEPOS Electronic wrist rotator any DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7360
DMEPOS Six volt bat otto bock/eq ea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7362
DMEPOS Battery chrgr six volt otto DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7364
DMEPOS Twelve volt battery utah/equ DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7366
DMEPOS Battery chrgr 12 volt utah/e DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7367
DMEPOS Replacemnt lithium ionbatter DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7368
DMEPOS Lithium ion battery charger DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7400
DMEPOS Add ue prost be/wd, ultlite DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7401
DMEPOS Add ue prost a/e ultlite mat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7402
DMEPOS Add ue prost s/d ultlite mat DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7403
DMEPOS Add ue prost b/e acrylic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7404
DMEPOS Add ue prost a/e acrylic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7405
DMEPOS Add ue prost s/d acrylic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7406
DMEPOS Add to upp extr user adj mec DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7520
DMEPOS Repair prosthesis per 15 min DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L7700
DMEPOS Pros soc insert gasket/seal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8000
DMEPOS Mastectomy bra DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8001
DMEPOS Breast prosthesis bra & form DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8002
DMEPOS Brst prsth bra & bilat form DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8015
DMEPOS Ext breastprosthesis garment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8020
DMEPOS Mastectomy form DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8030
DMEPOS Breast prosthes w/o adhesive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8031
DMEPOS Breast prosthesis w adhesive DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8032
DMEPOS Reusable nipple prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8035
DMEPOS Custom breast prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8040
DMEPOS Nasal prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8041
DMEPOS Midfacial prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8042
DMEPOS Orbital prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8043
DMEPOS Upper facial prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8044
DMEPOS Hemi-facial prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8045
DMEPOS Auricular prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8046
DMEPOS Partial facial prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8047
DMEPOS Nasal septal prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8300
DMEPOS Truss single w/ standard pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8310
DMEPOS Truss double w/ standard pad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8320
DMEPOS Truss addition to std pad wa DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8330
DMEPOS Truss add to std pad scrotal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8400
DMEPOS Sheath below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8410
DMEPOS Sheath above knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8415
DMEPOS Sheath upper limb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8417
DMEPOS Pros sheath/sock w gel cushn DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8420
DMEPOS Prosthetic sock multi ply bk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8430
DMEPOS Prosthetic sock multi ply ak DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8435
DMEPOS Pros sock multi ply upper lm DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8440
DMEPOS Shrinker below knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8460
DMEPOS Shrinker above knee DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8465
DMEPOS Shrinker upper limb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8470
DMEPOS Pros sock single ply bk DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8480
DMEPOS Pros sock single ply ak DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8485
DMEPOS Pros sock single ply upper l DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8500
DMEPOS Artificial larynx DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8501
DMEPOS Tracheostomy speaking valve DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8507
DMEPOS Trach-esoph voice pros pt in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8509
DMEPOS Trach-esoph voice pros md in DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8510
DMEPOS Voice amplifier DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8511
DMEPOS Indwelling trach insert DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8512
DMEPOS Gel cap for trach voice pros DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8513
DMEPOS Trach pros cleaning device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8514
DMEPOS Repl trach puncture dilator DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8515
DMEPOS Gel cap app device for trach DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8600
DMEPOS Implant breast silicone/eq DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8603
DMEPOS Collagen imp urinary 2.5 ml DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8605
DMEPOS Inj bulking agent anal canal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8606
DMEPOS Synthetic implnt urinary 1ml DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8607
DMEPOS Inj vocal cord bulking agent DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8609
DMEPOS Artificial cornea DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8610
DMEPOS Ocular implant DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8612
DMEPOS Aqueous shunt prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8613
DMEPOS Ossicular implant DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8614
DMEPOS Cochlear device DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8615
DMEPOS Coch implant headset replace DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8616
DMEPOS Coch implant microphone repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8617
DMEPOS Coch implant trans coil repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8618
DMEPOS Coch implant tran cable repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8619
DMEPOS Coch imp ext proc/contr rplc DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8621
DMEPOS Repl zinc air battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8622
DMEPOS Repl alkaline battery DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8623
DMEPOS Lith ion batt cid,non-earlvl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8624
DMEPOS Lith ion batt cid, ear level DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8625
DMEPOS Charger coch impl/aoi battry DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8627
DMEPOS Cid ext speech process repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8628
DMEPOS Cid ext controller repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8629
DMEPOS Cid transmit coil and cable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8630
DMEPOS Metacarpophalangeal implant DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8631
DMEPOS Mcp joint repl 2 pc or more DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8641
DMEPOS Metatarsal joint implant DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8642
DMEPOS Hallux implant DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8658
DMEPOS Interphalangeal joint spacer DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8659
DMEPOS Interphalangeal joint repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8670
DMEPOS Vascular graft, synthetic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8678
DMEPOS Ext sply implt neurostim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8679
DMEPOS Imp neurosti pls gn any type DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8681
DMEPOS Pt prgrm for implt neurostim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8682
DMEPOS Implt neurostim radiofq rec DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8683
DMEPOS Radiofq trsmtr for implt neu DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8684
DMEPOS Radiof trsmtr implt scrl neu DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8689
DMEPOS External recharg sys intern DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8690
DMEPOS Aud osseo dev, int/ext comp DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8691
DMEPOS Aoi snd proc repl excl actua DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8693
DMEPOS Aud osseo dev, abutment DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8694
DMEPOS Aoi transducer/actuator repl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8695
DMEPOS External recharg sys extern DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8696
DMEPOS Ext antenna phren nerve stim DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8701
DMEPOS Pow ue rom dev ewh uprt cust DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
L8702
DMEPOS Pow ue rom dev ewhf uprt cus DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0081
Diagnostic & Therapeutic Infusion ther other than che
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0477
DMEPOS Pwr Module Pt Cable Lvad Rpl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0478
DMEPOS Power adapter, combo vad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0479
DMEPOS Power module combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0480
DMEPOS Driver pneumatic vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0481
DMEPOS Microprcsr cu elec vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0482
DMEPOS Microprcsr cu combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0483
DMEPOS Monitor elec vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0484
DMEPOS Monitor elec or comb vad rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0485
DMEPOS Monitor cable elec vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0486
DMEPOS Mon cable elec/pneum vad rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0487
DMEPOS Leads any type vad, rep only DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0489
DMEPOS Pwr pck base combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0490
DMEPOS Emr pwr source elec vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0491
DMEPOS Emr pwr source combo vad rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0492
DMEPOS Emr pwr cbl elec vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0493
DMEPOS Emr pwr cbl combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0494
DMEPOS Emr hd pmp elec/combo, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0495
DMEPOS Charger elec/combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0496
DMEPOS Battery elec/combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0497
DMEPOS Bat clps elec/comb vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0498
DMEPOS Holster elec/combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0499
DMEPOS Belt/vest elec/combo vad rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0500
DMEPOS Filters elec/combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0501
DMEPOS Shwr cov elec/combo vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0502
DMEPOS Mobility cart pneum vad, rep DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0503
DMEPOS Battery pneum vad replacemnt DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0504
DMEPOS Pwr adpt pneum vad, rep veh DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q0506
DMEPOS Lith-ion batt elec/pneum vad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q2026
DMEPOS Radiesse injection DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4001
DMEPOS Cast sup body cast plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4002
DMEPOS Cast sup body cast fiberglas DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4003
DMEPOS Cast sup shoulder cast plstr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4004
DMEPOS Cast sup shoulder cast fbrgl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4005
DMEPOS Cast sup long arm adult plst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4006
DMEPOS Cast sup long arm adult fbrg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4007
DMEPOS Cast sup long arm ped plster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4008
DMEPOS Cast sup long arm ped fbrgls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4009
DMEPOS Cast sup sht arm adult plstr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4010
DMEPOS Cast sup sht arm adult fbrgl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4011
DMEPOS Cast sup sht arm ped plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4012
DMEPOS Cast sup sht arm ped fbrglas DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4013
DMEPOS Cast sup gauntlet plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4014
DMEPOS Cast sup gauntlet fiberglass DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4015
DMEPOS Cast sup gauntlet ped plster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4016
DMEPOS Cast sup gauntlet ped fbrgls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4017
DMEPOS Cast sup lng arm splint plst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4018
DMEPOS Cast sup lng arm splint fbrg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4019
DMEPOS Cast sup lng arm splnt ped p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4020
DMEPOS Cast sup lng arm splnt ped f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4021
DMEPOS Cast sup sht arm splint plst DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4022
DMEPOS Cast sup sht arm splint fbrg DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4023
DMEPOS Cast sup sht arm splnt ped p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4024
DMEPOS Cast sup sht arm splnt ped f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4025
DMEPOS Cast sup hip spica plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4026
DMEPOS Cast sup hip spica fiberglas DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4027
DMEPOS Cast sup hip spica ped plstr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4028
DMEPOS Cast sup hip spica ped fbrgl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4029
DMEPOS Cast sup long leg plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4030
DMEPOS Cast sup long leg fiberglass DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4031
DMEPOS Cast sup lng leg ped plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4032
DMEPOS Cast sup lng leg ped fbrgls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4033
DMEPOS Cast sup lng leg cylinder pl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4034
DMEPOS Cast sup lng leg cylinder fb DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4035
DMEPOS Cast sup lngleg cylndr ped p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4036
DMEPOS Cast sup lngleg cylndr ped f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4037
DMEPOS Cast sup shrt leg plaster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4038
DMEPOS Cast sup shrt leg fiberglass DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4039
DMEPOS Cast sup shrt leg ped plster DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4040
DMEPOS Cast sup shrt leg ped fbrgls DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4041
DMEPOS Cast sup lng leg splnt plstr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4042
DMEPOS Cast sup lng leg splnt fbrgl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4043
DMEPOS Cast sup lng leg splnt ped p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4044
DMEPOS Cast sup lng leg splnt ped f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4045
DMEPOS Cast sup sht leg splnt plstr DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4046
DMEPOS Cast sup sht leg splnt fbrgl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4047
DMEPOS Cast sup sht leg splnt ped p DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4048
DMEPOS Cast sup sht leg splnt ped f DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4049
DMEPOS Finger splint, static DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4205
Drugs & Injections Membrane graft or wrap sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4206
Drugs & Injections Fluid flow or fluid gf 1 cc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4208
Drugs & Injections Novafix per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4209
Drugs & Injections Surgraft per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4211
Drugs & Injections Amnion bio or axobio sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4212
Drugs & Injections Allogen, per cc
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4213
Drugs & Injections Ascent, 0.5 mg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4214
Drugs & Injections Cellesta cord per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4215
Drugs & Injections Axolotl ambient, cryo 0.1 mg
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4216
Drugs & Injections Artacent cord per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4217
Drugs & Injections Woundfix biowound plus xplus
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4218
Drugs & Injections Surgicord per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4219
Drugs & Injections Surgigraft dual per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4220
Drugs & Injections Bellacell hd, surederm sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4221
Drugs & Injections Amniowrap2 per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4222
Drugs & Injections Progenamatrix, per sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
Q4226
Drugs & Injections Myown harv prep proc sq cm
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2020
DMEPOS Vision svcs frames purchases DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2100
DMEPOS Lens spher single plano 4.00 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2101
DMEPOS Single visn sphere 4.12-7.00 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2102
DMEPOS Singl visn sphere 7.12-20.00 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2103
DMEPOS Spherocylindr 4.00d/12-2.00d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2104
DMEPOS Spherocylindr 4.00d/2.12-4d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2105
DMEPOS Spherocylinder 4.00d/4.25-6d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2106
DMEPOS Spherocylinder 4.00d/>6.00d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2107
DMEPOS Spherocylinder 4.25d/12-2d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2108
DMEPOS Spherocylinder 4.25d/2.12-4d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2109
DMEPOS Spherocylinder 4.25d/4.25-6d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2110
DMEPOS Spherocylinder 4.25d/over 6d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2111
DMEPOS Spherocylindr 7.25d/.25-2.25 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2112
DMEPOS Spherocylindr 7.25d/2.25-4d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2113
DMEPOS Spherocylindr 7.25d/4.25-6d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2114
DMEPOS Spherocylinder over 12.00d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2115
DMEPOS Lens lenticular bifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2118
DMEPOS Lens aniseikonic single DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2121
DMEPOS Lenticular lens, single DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2200
DMEPOS Lens spher bifoc plano 4.00d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2201
DMEPOS Lens sphere bifocal 4.12-7.0 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2202
DMEPOS Lens sphere bifocal 7.12-20. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2203
DMEPOS Lens sphcyl bifocal 4.00d/.1 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2204
DMEPOS Lens sphcy bifocal 4.00d/2.1 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2205
DMEPOS Lens sphcy bifocal 4.00d/4.2 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2206
DMEPOS Lens sphcy bifocal 4.00d/ove DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2207
DMEPOS Lens sphcy bifocal 4.25-7d/. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2208
DMEPOS Lens sphcy bifocal 4.25-7/2. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2209
DMEPOS Lens sphcy bifocal 4.25-7/4. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2210
DMEPOS Lens sphcy bifocal 4.25-7/ov DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2211
DMEPOS Lens sphcy bifo 7.25-12/.25- DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2212
DMEPOS Lens sphcyl bifo 7.25-12/2.2 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2213
DMEPOS Lens sphcyl bifo 7.25-12/4.2 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2214
DMEPOS Lens sphcyl bifocal over 12. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2215
DMEPOS Lens lenticular bifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2218
DMEPOS Lens aniseikonic bifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2219
DMEPOS Lens bifocal seg width over DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2220
DMEPOS Lens bifocal add over 3.25d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2221
DMEPOS Lenticular lens, bifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2300
DMEPOS Lens sphere trifocal 4.00d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2301
DMEPOS Lens sphere trifocal 4.12-7. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2302
DMEPOS Lens sphere trifocal 7.12-20 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2303
DMEPOS Lens sphcy trifocal 4.0/.12- DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2304
DMEPOS Lens sphcy trifocal 4.0/2.25 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2305
DMEPOS Lens sphcy trifocal 4.0/4.25 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2306
DMEPOS Lens sphcyl trifocal 4.00/>6 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2307
DMEPOS Lens sphcy trifocal 4.25-7/. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2308
DMEPOS Lens sphc trifocal 4.25-7/2. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2309
DMEPOS Lens sphc trifocal 4.25-7/4. DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2310
DMEPOS Lens sphc trifocal 4.25-7/>6 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2311
DMEPOS Lens sphc trifo 7.25-12/.25- DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2312
DMEPOS Lens sphc trifo 7.25-12/2.25 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2313
DMEPOS Lens sphc trifo 7.25-12/4.25 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2314
DMEPOS Lens sphcyl trifocal over 12 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2315
DMEPOS Lens lenticular trifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2318
DMEPOS Lens aniseikonic trifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2319
DMEPOS Lens trifocal seg width > 28 DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2320
DMEPOS Lens trifocal add over 3.25d DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2321
DMEPOS Lenticular lens, trifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2410
DMEPOS Lens variab asphericity sing DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2430
DMEPOS Lens variable asphericity bi DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2500
DMEPOS Contact lens pmma spherical DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2501
DMEPOS Cntct lens pmma-toric/prism DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2502
DMEPOS Contact lens pmma bifocal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2503
DMEPOS Cntct lens pmma color vision DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2510
DMEPOS Cntct gas permeable sphericl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2511
DMEPOS Cntct toric prism ballast DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2512
DMEPOS Cntct lens gas permbl bifocl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2513
DMEPOS Contact lens extended wear DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2520
DMEPOS Contact lens hydrophilic DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2521
DMEPOS Cntct lens hydrophilic toric DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2522
DMEPOS Cntct lens hydrophil bifocl DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2523
DMEPOS Cntct lens hydrophil extend DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2524
DMEPOS Cntct lens hydrophil photoch DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2530
DMEPOS Contact lens gas impermeable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2531
DMEPOS Contact lens gas permeable DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2623
DMEPOS Plastic eye prosth custom DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2624
DMEPOS Polishing artifical eye DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2625
DMEPOS Enlargemnt of eye prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2626
DMEPOS Reduction of eye prosthesis DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2627
DMEPOS Scleral cover shell DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2628
DMEPOS Fabrication & fitting DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2630
DMEPOS Anter chamber intraocul lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2631
DMEPOS Iris support intraoclr lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2632
DMEPOS Post chmbr intraocular lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2700
DMEPOS Balance lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2710
DMEPOS Glass/plastic slab off prism DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2715
DMEPOS Prism lens/es DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2718
DMEPOS Fresnell prism press-on lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2730
DMEPOS Special base curve DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2744
DMEPOS Tint photochromatic lens/es DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2745
DMEPOS Tint, any color/solid/grad DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2750
DMEPOS Anti-reflective coating DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2755
DMEPOS Uv lens/es DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2760
DMEPOS Scratch resistant coating DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2762
DMEPOS Polarization, any lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2770
DMEPOS Occluder lens/es DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2780
DMEPOS Oversize lens/es DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2782
DMEPOS Lens, 1.54-1.65 p/1.60-1.79g DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2783
DMEPOS Lens, >= 1.66 p/>=1.80 g DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2784
DMEPOS Lens polycarb or equal DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage
V2786
DMEPOS Occupational multifocal lens DME > $1000
2026-01-012025-12-1097%
[PDF] 2026 HTA PPO Prior Authorization Code List - HealthTeam Advantage