Does Blue Cross Blue Shield require prior authorization for CPT 90832?

Status not confirmed in our dataset. Confirm against the current Blue Cross Blue Shield clinical policy before submitting.

What documentation does Blue Cross Blue Shield require for CPT 90832?

Documentation requirements vary by case. Standard items include clinical notes, imaging or test results, history of conservative treatment, and a clear statement of medical necessity.

How much does Medicare pay for CPT 90832 in 2026?

In 2026, the national Medicare allowable for CPT 90832 is $85.84 in an office setting and $69.47 in a facility. Commercial allowables for Blue Cross Blue Shield are typically negotiated against this benchmark.

What if Blue Cross Blue Shield denies the PA for CPT 90832?

Appeal in writing within 60 days, citing the specific clinical policy criteria the case meets and attaching supporting documentation. Many denials are reversed on first-level appeal when the criteria language is mirrored.

Prior Authorization

Blue Cross Blue Shield Prior Authorization for CPT 90832

Individual psychotherapy, 16-37 minutes face-to-face with patient · Standard commercial plans

Status not confirmed

Source

Data pending source-document linkage. Verify against Blue Cross Blue Shield's current clinical policy before submission.

Not medical advice. PA policies change frequently. Always confirm against the payer's current policy before submitting. d3rx pulls directly from publicly published policy PDFs and refreshes daily.

We don't have a source-backed prior-authorization verdict for CPT 90832 with Blue Cross Blue Shield under Standard commercial plans yet — confirm directly with the payer. The 2026 Medicare reference rate for this code is below, and you can draft the request free in Ask D3.

2026 Medicare rate for CPT 90832

Office (non-facility)

$85.84

Facility

$69.47

Total RVUs (office)

2.57

Conversion factor

$33.4009

National Medicare Physician Fee Schedule amounts (GPCI 1.0). Blue Cross Blue Shield's commercial allowable is negotiated against this benchmark — see the full RVU and locality breakdown on the CPT 90832 code page.

How to submit the PA

1Verify the requirement against the current clinical policy linked above.
2Gather patient history, prior conservative treatment, and clinical justification.
3Submit via the payer's provider portal or designated PA channel.
4Document the reference number and follow up within 5 business days if no determination is received.

FAQ

Does Blue Cross Blue Shield require prior authorization for CPT 90832?: Status not confirmed in our dataset. Confirm against the current Blue Cross Blue Shield clinical policy before submitting.
What documentation does Blue Cross Blue Shield require for CPT 90832?: Documentation requirements vary by case. Standard items include clinical notes, imaging or test results, history of conservative treatment, and a clear statement of medical necessity.
How much does Medicare pay for CPT 90832 in 2026?: In 2026, the national Medicare allowable for CPT 90832 is $85.84 in an office setting and $69.47 in a facility. Commercial allowables for Blue Cross Blue Shield are typically negotiated against this benchmark.
What if Blue Cross Blue Shield denies the PA for CPT 90832?: Appeal in writing within 60 days, citing the specific clinical policy criteria the case meets and attaching supporting documentation. Many denials are reversed on first-level appeal when the criteria language is mirrored.

Other Blue Cross Blue Shield PA lookups

CPT 90834 CPT 90837 CPT 90792 CPT 90847 CPT 90791 CPT 97161 CPT 93000 CPT 90846

All Blue Cross Blue Shield prior-authorization requirements →

CPT 90832 prior authorization by payer

Cigna Aetna Humana TRICARE Medicare Anthem

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