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