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. 

Carelon Medical Benefits Management does not currently review drugs with unlisted, miscellaneous, or unclassified codes. 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.