0503F CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0503F

Payer coverage policies that name 0503F

0503F appears in 2 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCGuidelines for Global Maternity Reimbursementlisted, no stanceNov 1, 2024payer document
BlueCross BlueShield of South CarolinaMaternity/Obstetrical Care Benefits (CAM 366)listed, no stanceFeb 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.