Prior authorization codes
Tufts Health Plan
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 56112 | 38916032286091782< | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95800 | • / / / – Home To find a complete list of CPT | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95801 | • / / / – Home To find a complete list of CPT | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95805 | • – Multiple Sleep Latency Test | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95806 | devices • , will be always redirected and | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95807 | • / / – Attended through eviCore, please visit | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95808 | • / / – Attended through eviCore, please visit | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95810 | • / / – Attended through eviCore, please visit | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| 95811 | • – Attended Polysomnography with Sleep Management Program: Prior | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| A4604 | • and – – PAP supply • eviCore recommends requesting the preferred | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| A7027 | • and – – PAP supply • eviCore recommends requesting the preferred | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| A7046 | • and – – PAP supply • eviCore recommends requesting the preferred | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| E0470 | • / / – PAP Therapy preferred HST Code | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| E0471 | • / / – PAP Therapy preferred HST Code | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| E0561 | • – PAP Therapy humidifiers | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| E0601 | • / / – PAP Therapy preferred HST Code | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| G0398 | devices • , will be always redirected and | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| G0399 | • / / / – Home To find a complete list of CPT | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |
| G0400 | • / / / – Home To find a complete list of CPT | 2026-07-06 | Not listed | 97% | [PDF] Provider Orientation Sessions for Tufts Health Plan - eviCore |