Recarbrio Prior Authorization Resources

Find the right PA form for your patient's payer, get the ICD-10 codes you need, and download appeal templates — all in one place.

Last verified: May 11, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 11, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 11, 2026
Colorado - Uniform Prior Authorization FormColorado · Updated Apr 16, 2026

ICD-10 codes for Recarbrio Prior Authorizations

J15.9Unspecified bacterial pneumonia
J18.8Other pneumonia, unspecified organism
J18.9Pneumonia, unspecified organism
N39.0Urinary tract infection, site not specified
N10Acute pyelonephritis
K65.0Generalized (acute) peritonitis
K65.1Peritoneal abscess
K65.9Peritonitis, unspecified

Brand Resources

How To Order RecarbrioHow To Order Recarbrio resource
Billing & Coding Guide Billing & Coding Guide resource

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