Talk to Us

Anthem Blue Cross and Blue Shield Nevada policies, page 6

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
Claims Requiring Additional DocumentationG-06031 · Effective May 6, 2025 · Medicaid · NV—Original policy ↗
Claims Requiring Additional Documentation – Professional and FacilityC-22001 · Effective Mar 23, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Claims Submission – Required Information for FacilitiesMedicaid · NV—Original policy ↗
Claims Timely FilingG-06050 · Effective Jun 3, 2025 · Medicaid · NV—Original policy ↗
Clinic Charges – FacilityC-14002 · Effective Jul 21, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Clinical Data SharingCommercial · CT, GA, ME, NH, NV, NY, VA—Original policy ↗
CMS 1500 (version 08/05) Paper Claim Filing InstructionsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Coblation® Therapies for Musculoskeletal ConditionsSURG.00088 · Commercial2Original policy ↗
Code and Clinical Editing GuidelinesG-07016 · Effective Mar 25, 2025 · Medicaid · NV—Original policy ↗
Code and Clinical Editing Guidelines – Professional and FacilityC-25002 · Effective Oct 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Commercial Medical Record StandardsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Commercial Medical Record StandardsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Commercial Risk Adjustment (CRA): Program OverviewCommercial · NV—Original policy ↗
Consultation Services – ProfessionalC-09010 · Effective Dec 29, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI10Original policy ↗
ConsultationsG-05006 · Effective Dec 2, 2025 · Medicaid · NV—Original policy ↗
Corrected ClaimsG-16001 · Effective Oct 6, 2025 · Medicaid · NV—Original policy ↗
Critical Care to Home – FacilityC-25004 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Cryoablation for Plantar Fasciitis and Plantar FibromaSURG.00100 · Commercial2Original policy ↗
Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the LiverCG-SURG-61 · Commercial25Original policy ↗
Deep Brain Stimulation and Responsive NeurostimulationSURG.00026 · Commercial22Original policy ↗
Dental claims review submission requirementsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI125Original policy ↗
Dental Web Portal NotificationCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Destruction of Pre-Malignant Skin LesionsCG-SURG-37 · Commercial3Original policy ↗
Diagnostic Radiopharmaceuticals and Contrast Materials - Professional and FacilityC-24001 · Effective May 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
DME Modifiers - ProfessionalC-19006 · Effective Sep 28, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
DME Modifiers for New, Rented, and Used EquipmentG-06053 · Effective Mar 26, 2026 · Medicaid · NV—Original policy ↗
DME Rent to Purchase - ProfessionalC-19007 · Effective Oct 6, 2025 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI8Original policy ↗
DME.00012 Intrapulmonary Percussive Ventilation DevicesDME.00012 · Commercial1Original policy ↗
DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)DME.00022 · Commercial5Original policy ↗
DME.00030 Altered Auditory Feedback Devices for Fluency DisordersDME.00030 · Commercial1Original policy ↗
DME.00037 Cooling Devices and Combined Cooling/Heating DevicesDME.00037 · Commercial6Original policy ↗
DME.00038 Static Progressive Stretch (SPS) and Patient-Actuated Serial Stretch (PASS) DevicesDME.00038 · Commercial9Original policy ↗
DME.00046 Intermittent Abdominal Pressure Ventilation DevicesDME.00046 · Commercial1Original policy ↗
DME.00047 Rehabilitative Devices with Remote MonitoringDME.00047 · Commercial1Original policy ↗
DME.00048 Virtual Reality-Assisted Therapy SystemsDME.00048 · Commercial7Original policy ↗
DME.00049 External Upper Limb Stimulation for the Treatment of TremorsDME.00049 · Commercial2Original policy ↗
DME.00053 Home Video-Assisted Robotic Rehabilitation SystemsDME.00053 · Commercial1Original policy ↗
Documentation and Reporting Guidelines for Evaluation and Management Services – ProfessionalC-09007 · Effective Sep 11, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI2Original policy ↗
Documentation Standards for Episodes of CareG-11004 · Effective Dec 30, 2024 · Medicaid · NV—Original policy ↗
Documentation Standards for Episodes of Care – Professional and FacilityC-20003 · Effective Jul 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Dos and Don’ts of Colorectal Cancer Screening080315 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Download the Dental Provider Reference ManualCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI111Original policy ↗
DRG Inpatient Facility TransfersG-13002 · Effective Oct 13, 2021 · Medicaid · NV—Original policy ↗
DRG Newborn Inpatient Stays – FacilityC-18002 · Effective Dec 18, 2025 · Commercial · CO, CT, ME, MO, NH, NV, OH—Original policy ↗
Drug Screen TestingG-19001 · Effective Nov 14, 2025 · Medicaid · NV—Original policy ↗
Drug Screen Testing – ProfessionalC-12004 · Effective Oct 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI17Original policy ↗
Drugs and Devices Requiring Procedures – FacilityC-26001 · Effective Jul 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Duplicate or Subsequent Services on the Same Date of ServiceG-06032 · Effective May 22, 2024 · Medicaid · NV—Original policy ↗
Durable Medical Equipment (Rent to Purchase)G-06052 · Effective Oct 6, 2025 · Medicaid · NV—Original policy ↗
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)G-06049 · Effective Jul 21, 2025 · Medicaid · NV—Original policy ↗

Back to Anthem Blue Cross and Blue Shield Nevada · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list

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.

This website uses cookies to ensure you get the best experience on our website. Learn more