Anthem Blue Cross and Blue Shield Nevada policy
Modifiers PN and PO: Off-Campus Provider-Based Hospital Outpatient
Modifiers PN and PO: Off-Campus Provider-Based Hospital Outpatient is a public Anthem Blue Cross and Blue Shield Nevada policy (policy G-26002, effective Jan 1, 2027). It lists 5 CPT or HCPCS codes, 0 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
- G-26002
- Effective
- Jan 1, 2027
- Line of business
- Medicaid
- States
- NV
- 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 |
|---|---|---|---|
| 99202 | Not listed | Policies naming 99202 | |
| 99205 | Not listed | Policies naming 99205 | |
| 99211 | Not listed | Policies naming 99211 | |
| 99215 | Not listed | Policies naming 99215 | |
| G0463 | Not listed | Policies naming G0463 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list