Anthem Blue Cross and Blue Shield Nevada policy
CG-MED-92 Foot Care Services
CG-MED-92 Foot Care Services is a public Anthem Blue Cross and Blue Shield Nevada policy (policy CG-MED-92). It lists 14 CPT or HCPCS codes, 4 of them on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- CG-MED-92
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Nevada prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Nevada policies |
|---|---|---|---|
| 11055 | Not listed | Policies naming 11055 | |
| 11056 | Not listed | Policies naming 11056 | |
| 11057 | Not listed | Policies naming 11057 | |
| 11719 | Not listed | Policies naming 11719 | |
| 11720 | Not listed | Policies naming 11720 | |
| 11721 | Not listed | Policies naming 11721 | |
| 11730 | On the list | Avulsion, Nail Plate, Partial/Complete, Simple; Single | Policies naming 11730 |
| 11732 | Not listed | Policies naming 11732 | |
| 11750 | On the list | Excision, Nail/Nail Matrix, Permanent Removal | Policies naming 11750 |
| 11765 | On the list | Wedge Excision, Skin, Nail Fold | Policies naming 11765 |
| 97022 | On the list | Application of a modality to 1 or more areas; whirlpool | Policies naming 97022 |
| G0127 | Not listed | Policies naming G0127 | |
| G0247 | Not listed | Policies naming G0247 | |
| S0390 | Not listed | Policies naming S0390 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list