Anthem Blue Cross and Blue Shield Nevada policies, page 4

Search Anthem Blue Cross and Blue Shield Nevada's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

601 public policies Substrate tracks for Anthem Blue Cross and Blue Shield Nevada, by title.

Anthem Blue Cross and Blue Shield Nevada policies
PolicyDetailsCodesSource
CG-MED-81 Ultrasound Ablation for Oncologic IndicationsCG-MED-81 · Commercial7Original policy ↗
CG-MED-83 Site of Care: Specialty PharmaceuticalsCG-MED-83 · Commercial—Original policy ↗
CG-MED-84 Non-Obstetric Gynecologic Duplex Ultrasonography of the Abdomen and Pelvis in the Outpatient SettingCG-MED-84 · Commercial2Original policy ↗
CG-MED-85 Posterior Segment Optical Coherence TomographyCG-MED-85 · Commercial3Original policy ↗
CG-MED-86 Enhanced External Counterpulsation in the Outpatient SettingCG-MED-86 · Commercial2Original policy ↗
CG-MED-89 Home Parenteral NutritionCG-MED-89 · Commercial27Original policy ↗
CG-MED-90 Chelation TherapyCG-MED-90 · Commercial6Original policy ↗
CG-MED-91 Remote Therapeutic and Physiologic Monitoring ServicesCG-MED-91 · Commercial16Original policy ↗
CG-MED-92 Foot Care ServicesCG-MED-92 · Commercial14Original policy ↗
CG-MED-94 Vestibular Function TestingCG-MED-94 · Commercial11Original policy ↗
CG-MED-95 Transanal IrrigationCG-MED-95 · Commercial3Original policy ↗
CG-MED-96 Prefabricated External Infant Ear Molding SystemsCG-MED-96 · Commercial6Original policy ↗
CG-MED-97 Biofeedback and NeurofeedbackCG-MED-97 · Commercial7Original policy ↗
CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme DiseaseCG-MED-98 · Commercial33Original policy ↗
CG-MED-99 Intradialytic Parenteral NutritionCG-MED-99 · Commercial19Original policy ↗
CG-OR-PR-02 Prefabricated and Prophylactic Knee BracesCG-OR-PR-02 · Commercial16Original policy ↗
CG-OR-PR-03 Custom-made Knee BracesCG-OR-PR-03 · Commercial6Original policy ↗
CG-OR-PR-04 Cranial Remodeling Bands and Helmets (Cranial Orthoses)CG-OR-PR-04 · Commercial2Original policy ↗
CG-OR-PR-05 Myoelectric Upper Extremity Prosthetic DevicesCG-OR-PR-05 · Commercial25Original policy ↗
CG-OR-PR-06 Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and LumbarCG-OR-PR-06 · Commercial87Original policy ↗
CG-OR-PR-08 Microprocessor Controlled Lower Limb ProsthesisCG-OR-PR-08 · Commercial11Original policy ↗
CG-OR-PR-09 Microprocessor Controlled Knee-Ankle-Foot OrthosisCG-OR-PR-09 · Commercial1Original policy ↗
CG-OR-PR-10 Osseointegrated Limb ProsthesesCG-OR-PR-10 · Commercial5Original policy ↗
CG-RAD-26 Maternity Ultrasound in the Outpatient SettingCG-RAD-26 · Commercial10Original policy ↗
CG-RAD-27 Scrotal UltrasoundCG-RAD-27 · Commercial1Original policy ↗
CG-RAD-28 Transrectal UltrasonographyCG-RAD-28 · Commercial1Original policy ↗
CG-REHAB-02 Outpatient Cardiac RehabilitationCG-REHAB-02 · Commercial5Original policy ↗
CG-REHAB-03 Pulmonary RehabilitationCG-REHAB-03 · Commercial10Original policy ↗
CG-REHAB-07 Skilled Nursing and Skilled Rehabilitation Services (Outpatient)CG-REHAB-07 · Commercial—Original policy ↗
CG-REHAB-08 Private Duty Nursing in the Home SettingCG-REHAB-08 · Commercial7Original policy ↗
CG-REHAB-12 Rehabilitative and Habilitative Services in the Home Setting: Physical Medicine/Physical Therapy, Occupational Therapy and Speech-Language PathologyCG-REHAB-12 · Commercial13Original policy ↗
CG-SURG-01 ColonoscopyCG-SURG-01 · Commercial22Original policy ↗
CG-SURG-03 Blepharoplasty, Blepharoptosis Repair, and Brow LiftCG-SURG-03 · Commercial11Original policy ↗
CG-SURG-07 Vertical Expandable Prosthetic Titanium RibCG-SURG-07 · Commercial1Original policy ↗
CG-SURG-09 Temporomandibular DisordersCG-SURG-09 · Commercial21Original policy ↗
CG-SURG-10 Ambulatory or Outpatient Surgery Center ProceduresCG-SURG-10 · Commercial—Original policy ↗
CG-SURG-100 Laser Trabeculoplasty and Laser Peripheral IridotomyCG-SURG-100 · Commercial4Original policy ↗
CG-SURG-101 Ablative Techniques as a Treatment for Barrett’s EsophagusCG-SURG-101 · Commercial2Original policy ↗
CG-SURG-103 Penile CircumcisionCG-SURG-103 · Commercial1Original policy ↗
CG-SURG-104 Intraoperative Neurophysiological MonitoringCG-SURG-104 · Commercial4Original policy ↗
CG-SURG-105 Corneal Collagen Cross-LinkingCG-SURG-105 · Commercial3Original policy ↗
CG-SURG-106 Venous Angioplasty with or without Stent Placement or Venous Stenting AloneCG-SURG-106 · Commercial6Original policy ↗
CG-SURG-108 Stereotactic Radiofrequency PallidotomyCG-SURG-108 · Commercial1Original policy ↗
CG-SURG-112 Carpal Tunnel Decompression SurgeryCG-SURG-112 · Commercial5Original policy ↗
CG-SURG-113 Tonsillectomy with or without Adenoidectomy for AdultsCG-SURG-113 · Commercial2Original policy ↗
CG-SURG-114 Ophthalmic use of Nd:YAG Laser for Posterior CapsulotomyCG-SURG-114 · Commercial1Original policy ↗
CG-SURG-115 Mechanical Embolectomy for Treatment of StrokeCG-SURG-115 · Commercial1Original policy ↗
CG-SURG-116 Surgical Treatment of HyperhidrosisCG-SURG-116 · Commercial9Original policy ↗
CG-SURG-117 Balloon Dilation of the Eustachian TubesCG-SURG-117 · Commercial2Original policy ↗
CG-SURG-118 Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir)CG-SURG-118 · Commercial8Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.