All Medicare CPT codes
Enter CPT and HCPCS codes in the search to determine if they require prior authorization. Codes that require prior authorization will have a link to direct you to related requirements and instructions.
Refer to either the CPT Code Search Tool or the Blue Medicare Prior Authorization Guidelines for other prior authorization requirements.
The PDF versions of the code lists have been removed. Please use the search tool to determine if the service requires prior authorization.
- bcbsnc:cpt/cpt-code-type/cpt-code-medicare
Don't see a search result?
The code you searched is not on the Blue Medicare prior authorization list. This list is not all-inclusive, and prior authorization may still be required. Review the full guidelines or contact member services at the phone number on your member ID card.