Notice
Our customer Service Center is experiencing technical difficulties this morning 6/30/25, and is currently unable to take calls. Please use online services until further notice. We apologize for any inconvenience.
Procedure Code Lookup
The updated Procedure Code Lookup (PCL) tool is even better equipped to help your office look up:
With its easy-to-use self-service options, the PCL tool can help you answer questions more efficiently and effectively with these features at your fingertips:
Some instances may still require a call, including inquiries about DeltaCare and Flagship.
Watch this short video to learn more.
- Procedure codes,
- Benefit coverage, and
- Individual patient history
With its easy-to-use self-service options, the PCL tool can help you answer questions more efficiently and effectively with these features at your fingertips:
- Convenient access: The tool is located on our Patient Benefits Details page and can be accessed after you enter patient-specific information.
- Comprehensive information: Upon entering a procedure code, the tool is designed to display the following categories of information:
- Class of Service
- Covered | Not Covered | Elective | COTC & Preauthorization Requirements | Age limitations (code and/or contractual)
- Frequency limitations and usage
- Treatment History and Related Treatment History returned for the dates within the procedure frequency time limitations.
Some instances may still require a call, including inquiries about DeltaCare and Flagship.
