Non-Covered & Preauth Code Lists
Codes not covered and that require preauthorization can be found in the linked PDFs.
Codes not covered and that require preauthorization can be found in the linked PDFs.
Download Using Online Covered-Codes Files for tips on quickly searching for the information you need.
*This information is updated quarterly and subject to plan specifics. For current preauthorization lists, please review the applicable certificate of coverage. For questions, contact Member Services at 800-538-5038.