Overview
Cohere Health, a patient journey optimization company, has been asked to deploy its Digital Prior Authorization solution to allow users to submit a variety of services directly through Cohere’s platform.
Starting Oct 1, 2023, Cohere began managing Geisinger Health Plan submissions for most of the following services: DME, radiology, cardio, musculoskeletal, and pain intervention.
Beginning February 16, 2026, Cohere Health® is expanding its partnership with Geisinger Health Plan. Prior authorizations for Sleep - Facility based Polysomnography must be submitted through the Cohere Health portal.
For more information and to view the official and most up-to-date Geisinger Preauthorization List (PAL), please visit Geisinger's provider website. If you decide to fax a request for the codes listed below, please send it directly to Geisinger.
The codes listed below require authorization for all lines of business unless otherwise noted. Please note, in addition to the procedure codes, other request criteria may impact submission requirements.
Service | Procedure Codes |
Ablation | 0793T |
Ambulance - Medical Transport - Air | A0140, A0430, A0431, A0435, A0436 |
Ambulance - Medical Transport - Ground | A0100, A0110, A0120, A0130, A0426, A0428, A0432, A0434, A0998 |
Ambulance - Medical Transport - Ground Emergency | A0225, A0424, A0427, A0429, A0433 |
Ambulance - Medical Transport - Mileage | A0080, A0090, A0160, A0170, A0180, A0190, A0200, A0210, A0380, A0390, A0425 |
Ambulance - Other | A0422 |
Aortic Repair | 33882 |
Biofeedback for Non Behavioral Health indications | 90911 |
Breast - Mastectomy | 19318, 19301, 19303, 19325, 19350, 19357, 19300, 19304 |
Bronchoscopy | 31660, 31661, C9751, C8005 |
Cardiac devices | 33289, 0795T, 0796T, 0797T, 0798T, 0799T, 0800T, 0801T, 0802T, 0803T |
Cardiac procedures/surgeries | 33880, 33881, 33883, 33886, 34701, 34702, 34703, 34704, 34705, 34706, 34832, 34841, 34842, 34843, 34844, 34845, 34846, 34847, 34848, 37215, 37216, 37217, 37218 |
Cardiography - Electrocardiogram | 93228, 93229 |
Cardiography - External Electrocardiographic Monitoring | 93640, 93641, 93642, 93644 |
Cardiovascular - Comprehensive Electrophysiologic Evaluation | 93602, 93603, 93610, 93612, 93618, 93620, 93624, 93631, 93653, 93654, 93656 |
Cardiovascular - Insertion/Removal/Replacement ICD | 33244, 33249, 33262, 33263, 33264, 33270, 33271, 33272, 33273, 33285 |
Cardiovascular - Pacemaker Insertion or Repair | 33207, 33208, 33213, 33214, 33216, 33217, 33224, 33240, 33206, 33210, 33211, 33212, 33221, 33230, 33231, 33274 |
Cardiovascular - Pacemaker Removal | 33233, 33234, 33241, 33227, 33228, 33229, 33235, 33275 |
Cardiovascular - Percutaneous Coronary Artery Angioplasty and Stenting | 92920, 92928, 92937, 92943, 93595, 93596, 93597, 92945, 92924, 92933 |
Cardiovascular - Percutaneous Transcatheterization | 33340, 33361, 33362, 33363, 33365, 33366, 33418, 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 93580 |
Cardiovascular Procedures | 33930, 33933, 33935, 33940, 33944, 33945, 0345T, 0571T, 0572T, 0573T, 0574T, 0577T, 0580T, 0614T, 33990, 33991, 33995, C9762, C9763 |
Chemotherapy - Chemotherapeutic Agent | J9217, J9218, J9219 |
Chiropractic Services | 99202, 99203, 99204, 99205, 99206, 99207, 99208, 99209, 99210, 99211, 99212, 99213, 99214 |
Diagnostic/cardiac imaging | 36245, 36246, 36247 |
Digestive/gastrointestinal - Other | 43647, 43648, 43881, 43284, 43285, 43644, 43645, 43770, 43771, 43772, 43773, 43774, 43775, 43842, 43843, 43845, 43846, 43847, 43848, 43886, 43887, 43888, 44135, 44136, 44715, 44720, 44721, 47133, 47135, 47140, 47141, 47142, 47143, 47144, 47145, 47146, 47147, 48160, 48550, 48551, 48552, 48554, 48556, S2053 |
Digestive/gastrointestinal - Upper GI Endoscopy | 43210 |
Durable Medical Equipment (DME) Medical/Surgical Supplies - Other | E1399, E2342, E2351 |
Durable Medical Equipment (DME) Orthotic Devices - Below Knee Orthotic | A5510, L1900, L1904, L1907, L1920, L1980, L1990, L2106, L2108, L3201, L3211, L3214, L3254, L3255, L5010, L5020, L5050, L5060, L5100, L5105, L5150, L5160, L5301, L5400, L5510, L5520, L5530, L5535, L5540, L5620, L5629, L5637, L5638, L5639, L5646, L5647, L5655, L5665, L5666, L5668, L5670, L5671, L5672, L5673, L5676, L5677, L5678, L5679, L5680, L5681, L5682, L5683, L5700, L5703, L5704, L5711, L5712, L5714, L5716, L5718, L5722, L5724, L5726, L5728, L5780, L5785, L5810, L5811, L5812, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5845, L5848, L5856, L5857, L5858, L5859, L5910, L5930, L5940, L5962, L5968, L5969, L5970, L5971, L5972, L5973, L5974, L5975, L5976, L5978, L5979, L5980, L5981, L5987, L5841, L1932, L1951 |
Durable Medical Equipment (DME) Orthotic Devices - Knee Orthosis | L1834, L1840, L1844, L1846, L1860 |
Durable Medical Equipment (DME) Orthotic Devices - Lumbar Sacral Orthosis (LSO brace) | L0632, L0634, L0636, L0638, L0640 |
Durable Medical Equipment (DME) Orthotic Devices, Other | C1813, C2622, A5500, A5501, A5503, A5504, A5505, A5506, A5507, A5508, A5512, A5513, A5514, K0672, K1015, L0112, L0480, L0482, L0484, L0486, L0700, L0710, L0810, L0820, L0830, L0859, L0999, L1000, L1005, L1100, L1200, L1210, L1300, L1310, L1499, L1630, L1680, L1685, L1700, L1710, L1720, L1755, L2000, L2005, L2010, L2020, L2030, L2034, L2036, L2037, L2038, L2126, L2128, L2627, L2628, L2999, L3001, L3002, L3003, L3020, L3030, L3031, L3050, L3070, L3080, L3090, L3160, L3202, L3203, L3204, L3206, L3207, L3208, L3209, L3212, L3213, L3215, L3216, L3217, L3219, L3221, L3222, L3224, L3225, L3230, L3250, L3251, L3252, L3253, L3257, L3260, L3265, L3300, L3320, L3330, L3360, L3370, L3380, L3390, L3400, L3410, L3420, L3430, L3440, L3450, L3455, L3460, L3465, L3470, L3480, L3485, L3500, L3510, L3520, L3530, L3540, L3550, L3560, L3570, L3580, L3590, L3595, L3649, L3671, L3674, L3764, L3766, L3900, L3901, L3904, L3905, L3956, L3961, L3967, L3971, L3973, L3975, L3976, L3977, L3978, L3995, L3999, L4000, L4002, L4205, L4210, L4631, K1022, L5200, L5210, L5220, L5230, L5250, L5270, L5280, L5312, L5321, L5331, L5341, L5420, L5505, L5560, L5570, L5580, L5585, L5590, L5595, L5600, L5610, L5611, L5613, L5614, L5616, L5617, L5618, L5622, L5624, L5626, L5628, L5630, L5631, L5632, L5634, L5636, L5640, L5642, L5643, L5644, L5648, L5649, L5650, L5651, L5652, L5653, L5654, L5656, L5658, L5661, L5701, L5702, L5705, L5706, L5707, L5781, L5782, L5790, L5795, L5850, L5855, L5920, L5925, L5950, L5960, L5961, L5964, L5966, L5982, L5984, L5985, L5986, L5988, L5990, L5999, L6020, L6026, L6050, L6055, L6100, L6110, L6120, L6130, L6200, L6205, L6250, L6300, L6310, L6320, L6350, L6360, L6370, L6380, L6382, L6384, L6400, L6450, L6500, L6550, L6570, L6580, L6582, L6584, L6586, L6588, L6590, L6611, L6621, L6624, L6625, L6638, L6642, L6646, L6647, L6648, L6677, L6686, L6693, L6694, L6695, L6696, L6697, L6698, L6703, L6704, L6706, L6707, L6708, L6709, L6711, L6712, L6713, L6714, L6715, L6721, L6722, L6805, L6810, L6880, L6881, L6882, L6883, L6884, L6885, L6895, L6900, L6905, L6910, L6920, L6925, L6930, L6935, L6940, L6945, L6950, L6955, L6960, L6965, L6970, L6975, L7007, L7008, L7009, L7040, L7045, L7170, L7180, L7181, L7185, L7186, L7190, L7191, L7360, L7362, L7364, L7366, L7400, L7401, L7402, L7405, L7499, L7510, L7900, L7902, L8040, L8041, L8042, L8043, L8044, L8045, L8046, L8047, L8048, L8049, L8300, L8310, L8320, L8330, L8417, L8465, L8485, L8499, L8501, L8505, L8609, L8610, L8612, L8615, L8616, L8617, L8618, L8619, L8627, L8628, L8629, L8630, L8631, L8641, L8642, L8658, L8659, L8670, L8690, L8695, L8699, L9900, L1320, L5783, L0720, L1007 |
Durable Medical Equipment (DME), Other | E0761, S9127, S9128, S9208, S9211, S9213, S9214, Q5001, Q5002, Q5003, Q5007, Q5004, Q5005, Q5006, Q5008, Q5009, Q5010, E0617, S9432, S9434, S9435, A9283, E0485, E0486, K0903, S1040, K1014, L7259, L7600, E2500, E2502, E2504, E2506, E2508, E2510, E2511, E2512, E2599, E0766, E0466, E0467, S4030, S4031, S4040, T4522, T4539, T4540, T4534, T4541, T4542, T4543, T4538, T4532, T4537, T4535, T4536, T4533, T4523, T4524, T4521, T4525, T4530, T4531, T4528, T4529, T4526, T4545, T4527, T4544, E0565, E0618, E0619, E0170, E0483, A7025, E0250, E0251, E0255, E0256, E0260, E0261, E0265, E0266, E0290, E0291, E0292, E0293, E0294, E0295, E0296, E0297, E0300, E0301, E0302, E0303, E0304, E0316, E0462, K0002, K0003, K0004, K0005, K0006, K0007, E0482, E0574, E0575, E0740, E0744, E0745, E0770, E0424, E0431, E0433, E0434, E0439, E1390, E1391, E1392, K0738, E0630, E0635, E0636, E0639, E0640, E1035, E1036, E0650, E0651, E0652, E0675, E0601, E0193, E0194, E0277, E0371, E0372, E0373, E1800, E1801, E1802, E1805, E1806, E1810, E1811, E1812, E1815, E1816, E1818, E1825, E1830, E1831, E1840, E1841, E0445, E0470, E0471, E0472, E0600, E2000, E0465, K0800, K0801, K0802, K0806, K0807, K0808, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, E0217, E0236, E0239, E0480, E0550, E0615, E0656, E0657, E0668, E0677, E0762, E0781, E0784, E0785, E0791, E0849, E0855, E0911, E0912, E0920, E0930, E0941, E0946, E0958, E0983, E0984, E0986, E0988, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1010, E1012, E1014, E1029, E1030, E1031, E1037, E1050, E1060, E1070, E1083, E1084, E1087, E1088, E1092, E1093, E1100, E1110, E1150, E1160, E1161, E1170, E1171, E1172, E1180, E1190, E1195, E1200, E1221, E1222, E1223, E1224, E1225, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1240, E1270, E1280, E1295, E1405, E1406, E1700, E2120, E2227, E2228, E2310, E2311, E2312, E2313, E2321, E2322, E2325, E2326, E2327, E2328, E2329, E2330, E2368, E2369, E2370, E2373, E2374, E2375, E2376, E2377, E2378, K0009, K0010, K0011, K0012, K0455, K0730, K1002, K1006, K1009, K1016, K1018, K1020, K1024, K1025, K1031, K1032, K1033, E0147, E0670, E0671, E0691, E0692, E0693, E0694, E0782, E0783, E0786, E0947, E0948, E1230, E1296, E1310, E2204, E2341, E2343, E2614, E2616, E2621, E2626, E2627, E2628, E2629, E2630, K0606, L5991, E0721, E0743, A4335, A4553, A4554 |
Durable Medical Equipment (DME) Wheelchairs - Other | K0108 |
Dorsal Column Stimulation | 0417U |
E & M - Behavioral health services - Other | 90901, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 97151, 97155, 97156, 97153, 97152, 97157, H0031, H2021 |
E & M - Behavioral health services - Psychotherapy - Group | 97158 |
E & M Miscellaneous, Other | G0493, G0494, G0495, G0496, 95851, 95852, 99091 |
E & M - Home services - Home Health Skilled Services | G0162 |
E & M - Home services - Other | 99503, 99504, G0151, G0152, G0153, G0155, G0156, G0158, G0159, G0160, G0161, G0320, G0321, G0322, S5116, S9129, S9131, G0299, G0300, S9125, S9126, T1002, T1003 |
E & M - Hospice - Other | T2044, T2045 |
E & M - Ophthalmological services - Other | 92065 |
Emerging technology/new indications for existing technology | 93264 |
Endobronchial Valve | 31647, 31648, 31651, 61349 |
Enteral & Parenteral - Enteral Feeding and Formula | B4034, B4035, B4036, B4087, B4088, B4102, B4103, B4104, B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162, B9998, S9342, S9343, S9433, B4148 |
Enteral & Parenteral - Other | B4081, B4082, B4083, B4100 |
Enteral & Parenteral - Parenteral Feeding and Formula | B9002 |
Epidural Steroid Injections (Outpatient Only) | 64480, 64484 |
Eye Procedures | 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911 |
Facet Injections | 64491, 64492, 64494, 64495, 64634, 64636, 0214T, 0215T, 0217T, 0218T |
Facility-based sleep studies (PSG) | 95782, 95783, 95808, 95810, 95811 |
Gender Dysphoria and Gender Confirmation Treatment | 19369, 31540, 31541, 31570, 31571 |
General Laboratory - Immunoassay | 86367, 86807, 86808, 86812, 86813, 86816, 86817, 86821 |
General Laboratory, Other | 81417, 0130U, 0131U, 0132U, 0133U, 0134U, 0135U, 0156U |
Home-based sleep studies (PSG) | 95800, 95801, 95806, G0398, G0399, G0400 |
Imaging - CT Scan - CT/CTA - Abdomen and Pelvis | 72191, 72192, 72193, 72194, 74150, 74160, 74170, 74174, 74175, 74176, 74177, 74178, 74261, 74263, 75635 |
Imaging - CT Scan - CT/CTA - Chest | 71250, 71260, 71270, 71271, 71275 |
Imaging - CT Scan - CT/CTA - Head and Neck | 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 70496, 70498 |
Imaging - CT Scan - CT/CTA - Spine | 72125, 72126, 72127, 72128, 72129, 72130, 72131, 72132, 72133 |
Imaging, Other | 73200, 73201, 73202, 73206, 73700, 73701, 73702, 73706, 74262, 75571, 75572, 75573, 75574, 76380, 70471 |
Imaging - MR - MRI/MRA - Abdomen and Pelvis | 72195, 72196, 72197, 72198, 74181, 74182, 74183 |
Imaging - MR - MRI/MRA - Head and Neck | 70336, 70540, 70542, 70543, 70544, 70545, 70546, 70547, 70548, 70549, 70551, 70552, 70553, 70554, 70555 |
Imaging - MR - MRI/MRA - Lower Extremity | 73718, 73719, 73720, 73721, 73722, 73723, 73725 |
Imaging - MR - MRI/MRA - Other | 71550, 71551, 71552, 71555, 73218, 73219, 73220, 73221, 73222, 73223, 73225, 74185, 74712, 75557, 75559, 75561, 75563, 77046, 77047, 77048, 77049, 77084, C8900, C8901, C8902, C8903, C8905, C8906, C8908, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8931, C8932, C8933, C8934, C8935, C8936, C9791 |
Imaging - MR - MRI/MRA - Spine | 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72159 |
Imaging - Nuclear - Myocardial Perfusion Scan | 78451, 78452, 78453, 78454, 78459, 78466, 78468, 78469, 78491, 78492 |
Imaging - Nuclear - Other | 78429, 78430, 78431, 78432, 78433, 78472, 78473, 78481, 78483, 78494, 78609, G0219, G0235, G0252 |
Imaging - Nuclear - PET- Oncology | 92066, 89250, 89251, 89254, 89258, 89259, 89260, 89261, 89264, 89268, 89272, 89335, 89337, 89343, 89346, 89352, 89353, 78608, 78811, 78812, 78813, 78814, 78815, 78816 |
Injections and infusions (nononcologic) - Other | J1950, 38242, 38243 |
Interventional Cardiology-Electrophysiological Studies-(ESP) - Ablation | 0238T |
Interventional Pain Management | 63650, 63655, 63685, 64454, 64624, 64625, 62324, 62325, 62326, 62327, 62350, 62351, 62360, 62361 |
Magnetic Resonance Imaging (MRI) | 76390 |
Miscellaneous Treatments, Other | 0209U, 92520, 0615T, 0094U, 0362T, 97810, 97811, 97813, 97814, 90867, 90868, 90869, 90870, H0008, H0009, H0010, H0011, H0015, H0017, H0018, H0019, H0035, H2035, H2036, S9480, 0687T, 0688T, 0704T, 0705T, 0706T, H0032, 0373T, 97154, H2014, H2019, S0201 |
Molecular Profiling of Malignant Tumors | 0391U, 0422U, 0428U |
Molecular Profiling of Malignant Tumors to Identify Targeted Therapies | 0172U, 0326U, 0473U, 0511U, 0523U |
Molecular testing, Other | 81228, 81229, 81277, S3870, 0101U, 0102U, 0103U, 0171U, 0211U, 81437, 81438, 0037U, 0048U, 0179U, 0239U, 0242U, 0244U, 81445, 81455, 81525, 81415, 81416, 0260U, 0264U, 0265U, 0266U, 0267U, 81349, 81440, 81460, 81465, 0334U, 0448U, 81443, 89290, 89291, 0254U, 0552U, 0553U, 0554U, 0555U |
Musculoskeletal - Arthrodesis - Spine | 22532, 22533, 22548, 22551, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22800, 22802, 22804, 22808, 22810, 22812, 22849, 22856, 22857, 22861, 22867, 22869, 20930, 20931, 22860 |
Musculoskeletal - Arthroplasty - Hip | 27130, 27132, 27134, 27137, 27138, 27278, 27120 |
Musculoskeletal - Arthroplasty - Knee | 27437, 27438, 27440, 27441, 27442, 27443, 27445, 27446, 27447, 27486, 27487 |
Musculoskeletal - Arthroscopy - Lower Extremity | 29860, 29861, 29862, 29863, 29866, 29867, 29868, 29870, 29871, 29873, 29874, 29875, 29876, 29877, 29879, 29880, 29881, 29882, 29883, 29884, 29885, 29886, 29887, 29888, 29889, 29914, 29915, 29916, 29855, 29856 |
Musculoskeletal - Arthroscopy - Upper Extremity | 29805, 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29827, 29828 |
Musculoskeletal - Destruction by Neurolytic Agent - Back | 64633, 64635 |
Musculoskeletal - Joint Injection | 27096, G0260 |
Musculoskeletal - Laminotomy or Laminectomy - Lumbar | 62380, 63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63040, 63042, 63045, 63046, 63047 |
Musculoskeletal - Nerve Block Injection - Back | 64520, 62320, 62321, 62322, 62323, 64479, 64483, 64490, 64493, 64451 |
Musculoskeletal - Percutaneous Vertebroplasty | 22510, 22511, 22513, 22514 |
Musculoskeletal Procedures, Ankle | 27700, 27702, 27870, 29892 |
Musculoskeletal Procedures, Foot | 28110, 28291, 28295, 28296, 28297, 28306 |
Musculoskeletal Procedures, Other | 20560, 20561, 21280, 21282, 21120, 21145, 21147, 62264, 64590, 64420, 64421, 64620, 62362, 21121, 21122, 21123, 21125, 21127, 21141, 21142, 21143, 21146, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21685, 62263, 64418, 64505, 64510, 64530, 64568, 21899, 0213T, 0216T, 0219T, 0220T, 0221T, 22818, 22819, 23472, 23473, 23474, 27279, 27280, 27412, 63050, 63051, 63055, 63056, 63064, 63075, 63077, 63081, 63085, 63087, 63090, 63185, 63190, 63191, 63197, 63200, 63250, 63251, 63252, 63300, 63301, 63302, 63303, 63304, 63305, 63306, 63307, 22206, 22207, 22210, 22212, 22214, 22220, 22222, 22224, 23031, 23035, 23040, 23044, 23100, 23101, 23107, 23120, 23125, 23130, 23170, 23172, 23174, 23180, 23182, 23184, 23190, 23195, 23334, 23335, 23400, 23406, 23410, 23412, 23415, 23420, 23430, 23440, 23450, 23455, 23460, 23462, 23465, 23466, 23470, 23480, 23485, 23490, 23491, 23700, 23800, 23802, 26991, 26992, 27000, 27001, 27003, 27005, 27006, 27025, 27033, 27035, 27036, 27050, 27052, 27057, 27060, 27062, 27070, 27071, 27090, 27415, 27418, 27420, 27422, 27424, 27425, 27427, 27428, 27429, 27454, 27455, 27457, 27472, 27570, 62330, 62331 |
Obesity Surgery | 43889 |
Oral Health | G0330 |
Organ system procedures | 90912, 90913, 61850, 61860, 61863, 61864, 61867, 61868, 61885, 41874, 41899, 59072, 59074, 59076, S2400, S2401, S2402, S2403, S2404, S2405, S2409, S2411, 31587, 31750, 53415, 53420, 53425, 53430, 54120, 54125, 54400, 54401, 54405, 54406, 54408, 54410, 54411, 54415, 54416, 54417, 54520, 54690, 55175, 55180, 55899, 55970, 55980, 56625, 56800, 56805, 56810, 57106, 57107, 57110, 57111, 57291, 57292, 57295, 57296, 57335, 58150, 58260, 58275, 58285, 58291, 58543, 58550, 58553, 58570, 58572, 58661, 58720, 58940, 58152, 58180, 58200, 58210, 58240, 58262, 58263, 58267, 58270, 58280, 58290, 58292, 58294, 58541, 58542, 58544, 58548, 58552, 58554, 58571, 58573, 59525, D7230, D7240, 32491, 30400, 30410, 30420, 30430, 30435, 30450, 30520, 30620, 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857, S0199, 32850, 32851, 32852, 32853, 32854, 32855, 32856, 38204, 38205, 38206, 38207, 38208, 38209, 38210, 38211, 38212, 38213, 38214, 38215, 38230, 38232, 38240, 38241, 50300, 50320, 50323, 50325, 50327, 50328, 50329, 50340, 50360, 50365, 50370, 50380, 50547, S2054, S2055, S2060, S2061, S2065, S2102, S2140, S2142, S2150, 61886, 58321, 58322, 58323, 58976, 54660, 19316, 19340, 19342, 19361, 19364, 19367, 19368, 19371, 19380, 53400, 53405, 53410, 53431, 54130, 54135, 55150, 56620, 57426, 57530, D7880, D9223, D9222, D7140, 64555, 64575 |
Orthopedic surgeries: hip, knee and shoulder arthroscopy | 29826, 29850, 29851, 0707T, 0737T, J7330, S2112 |
Orthotics | L1006, L2755 |
Panniculectomy, Lipectomy or other excision of excessive skin | 15776, 15877, 15878, 15879 |
Percutaneous Electrical Nerve Field Stimulation (PENFS) | 0783T, 0720T, 64567 |
Percutaneous Electrical Nerve Stimulation (PENS) and Neuromodulation Therapy (PTN) | A4540 |
Peripheral revascularization (atherectomy, angioplasty) | 0505T, 37254, 37258, 37263, 37271, 37267, 37275, 37280, 37288, 37284, 37296, 37262, 37256, 37260, 37265, 37273, 37269, 37277, 37282, 37286, 37298, 37456, 36269, 37279, 39296, 37290, 37292, 37294, 37264, 37266, 37272, 37274, 37268, 37270, 37276, 37278 |
Physical occupational and speech therapy - Occupational Therapy | 97535, 97533, 97537, 97542, 97750, 97755, G0129, G0410, G0411 |
Physical occupational and speech therapy - Other | 97129, 97130, T1015 |
Physical occupational and speech therapy - PT Treatment | 97010, 97012, 97014, 97022, 97024, 97026, 97032, 97033, 97034, 97035, 97036, 97110, 97112, 97113, 97140, 97530, G0157, 97016, 97018, 97028, 97116, 97124, 97150 |
Physical occupational and speech therapy - PT/OT Evaluation | 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168 |
Physical occupational and speech therapy - Speech Therapy | 92507, 92508, 92524, 92526, 92606, 92609, 92610, 96105, S9152, V5362, V5363, V5364, 92522, 92523, 92597, 92605, 92607, 92608, 92618 |
Prosthetics | L8720, L8721, L5827, L6028, L6029, L6030, L6031, L6032, L6033, L6037, L6700, L7406, L5657, L6034, L6035, L6038, L6039, V2623, V2629 |
Radiation Oncology | G0562, G0563 |
Radiation oncology - Conventional Radiation Treatment | 77520, 77522, 77523, 77525, S8030, A9513, A9543, A9590, A9606, A9607 |
Radiation oncology - Radiation Treatment Planning | 77299 |
Skin - Debridement | 97597, 97598, 97602 |
Skin Procedures, Other | 15820, 15821, 15822, 15823, G0283, 15769, 15771, 15772, 15773, 15774, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15847, 97610, G0281, G0329, 17380, 00802, 15876 |
Speech Generating Devices | E2513 |
Spinal cord stimulators | 63663, 63664, 63688 |
Spinal manipulation - Chiropractic | 98940, 98941, 98942, 98943 |
Spine Surgeries; Spinal fusion, decompression, kyphoplasty and vertebroplasty | 22100, 22101, 22102, 22103, 22116, 22512, 22515, 22526, 22527, 22534, 22552, 22585, 22586, 22614, 22632, 22634, 22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22853, 22854, 22858, 22859, 22862, 22868, 22870, 62287, 63035, 63043, 63044, 63048, 63052, 63053, 63057, 63066, 63076, 63078, 63082, 63086, 63088, 63091, 63101, 63102, 63103, 63170, 63172, 63173, 63265, 63266, 63267, 63268, 63270, 63271, 63272, 63273, 63275, 63276, 63277, 63278, 63280, 63281, 63282, 63283, 63285, 63286, 63287, 63290, 63295, 63308, 64628, 64629, 0095T, 0098T, 0164T, 0165T, 0222T, 0656T, 0657T, S2348, S2350, S2351, 63032 |
Surgical Procedures on the Respiratory System | 32141, 32655, 32672 |
Under Proprietary Laboratory Analyses | 0318U |
Vagal Nerve Stimulation | 0908T |
Vascular - Varicose Vein Ablation | 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483 |
Vascular Procedures, Other | 0598T, 0599T, 0524T, 36465, 36466, 36470, 36471, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785 |
Vision Hearing & Speech Services - Other | V2600, V2610, V2615, V2770, 0101T |
Vision Therapy/Orthoptics | 1010T |
Whole Exome Sequencing | 81425, 81426, 81427, 81449, 81456, 0567U, 0582U, 0583U, 0532U, 0657U, 0658U, 0659U |