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Procedure code look-up

Find FCHP prior authorization requirements for valid CPT and HCPCS codes* by entering a code or partial code below.

We recently made changes to this tool and have removed the code description and global period information from the results. For additional information about CPT and HCPCS codes, please visit

*  The information supplied through this look-up tool should not be used to determine coverage.

Certain medical benefit drugs may be subject to claim edit. Refer to the Drugs and biologicals payment policy for more information.

Also, certain drugs under unspecified codes (e.g. A9699, J3490, J3590, J7599, J7699, J7799, J7999, J8498, J8499, J8597, J8999, J9999, C9399 and others) may require prior authorization. Refer to our medical benefit formulary for more information.

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