Anthem Blue Cross and Blue Shield Nevada policy
CG-SURG-106 Venous Angioplasty with or without Stent Placement or Venous Stenting Alone
CG-SURG-106 Venous Angioplasty with or without Stent Placement or Venous Stenting Alone is a public Anthem Blue Cross and Blue Shield Nevada policy (policy CG-SURG-106). It lists 6 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.
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- Policy number
- CG-SURG-106
- 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 |
|---|---|---|---|
| 37238 | On the list | Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same ves | Policies naming 37238 |
| 37239 | Not listed | Policies naming 37239 | |
| 37248 | On the list | Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and intepretation necessary to perform ang | Policies naming 37248 |
| 37249 | Not listed | Policies naming 37249 | |
| 61630 | On the list | Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous | Policies naming 61630 |
| 61635 | On the list | Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angiop | Policies naming 61635 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list