CPT codes for prior authorization requests

Most common CPT codes for outpatient referrals (From CPCA to other specialist):

Evaluation and Management

(New) 99205

(Old) 99245


Echo codes

93303(congenital echo)

93306(non-congenital bundled echo)


EKG code:

93000 (bundled EKG professional component and technical component)


-For internal authorization requests please use all of the following CPT codes:


Consultation codes:

(New) 99205 OR (Old) 99245 (Confirm by insurance type - Always Request 99203 for UHC)


-Echo codes:

(Congenital Set) 93303, 93320, 93325

(Bundled Non-Congenital) 93306


EKG:

93000 (bundled EKG professional component and technical component)


Event:

93270, 93272


Holter codes :

93225, 93227

Still need help? Contact Us Contact Us