Code Check Tool

  • To see if prior authorization or pre-service review is required, log in to our prior authorization tool for member-specific information. For general code information, use our code check tool.

    You can enter a medical or dental service code.

    1. Check a code

    Note: This tool does not include non-specific or unlisted codes (general codes that do not describe specific services) unless they are associated with a specific medical policy. We review all non-specific and unlisted codes when the claim is submitted, regardless of whether they relate to a medical policy. The code check tool is not a guarantee of coverage as member contracts may differ in benefits.

    Please make sure you're entering a valid, 5-character code. The code check tool does not accept modifiers.

    2. Submit a review

    LifeWise providers
    Submit a request using our prior authorization tool. Be sure to include the needed supporting documentation (see code list for details). Learn more about submitting prior authorization.