Anthem Blue Cross and Blue Shield Nevada policy
SURG.00161 Nanoparticle-Mediated Thermal Ablation
SURG.00161 Nanoparticle-Mediated Thermal Ablation is a public Anthem Blue Cross and Blue Shield Nevada policy (policy SURG.00161). It lists 4 CPT or HCPCS codes, 2 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
- SURG.00161
- 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 |
|---|---|---|---|
| 0738T | On the list | Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination | Policies naming 0738T |
| 0739T | On the list | Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and int | Policies naming 0739T |
| 55899 | Not listed | Policies naming 55899 | |
| 64999 | Not listed | Policies naming 64999 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list