Talk to Us

Anthem Blue Cross and Blue Shield Nevada policies, page 7

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
Edinburgh Postnatal Depression Scale (EPDS)Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous DevicesDME.00011 · Commercial15Original policy ↗
Electronic ID Cards Dental Quick Reference GuideCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Electronic Member ID Cards Quick Reference GuideCommercial · NV—Original policy ↗
Eligible Billed ChargesG-06001 · Effective Nov 4, 2024 · Medicaid · NV—Original policy ↗
Emergency Department Leveling of Evaluation and Management ServicesG-19002 · Effective Jan 16, 2024 · Medicaid · NV—Original policy ↗
Emergency Department Protocol for SIU ReviewCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI10Original policy ↗
Emergency Department: Leveling of Evaluation and Management Services – FacilityC-13001 · Effective Jan 1, 2021 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Emergency Room Transfers – FacilityC-20006 · Effective Jul 17, 2024 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH, WI5Original policy ↗
Emergency Services: Nonparticipating Providers and FacilitiesG-06092 · Effective Apr 29, 2022 · Medicaid · NV—Original policy ↗
Enrollment and revalidation requirements Medicaid participationMedicaid · NV—Original policy ↗
Escalation Contact ListCommercial · NV—Original policy ↗
Facility Guidelines for Claims Related to Professional Services - FacilityC-15004 · Effective Dec 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI19Original policy ↗
Facility Take-Home DME and Medical SuppliesG-06081 · Effective May 22, 2024 · Medicaid · NV—Original policy ↗
Facility Take-Home DrugsANV-RP-0078-18 · Effective Aug 31, 2006 · Medicaid · NV—Original policy ↗
Frequency Editing - ProfessionalC-08012 · Effective Jun 11, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI215Original policy ↗
Gene Therapy for Duchenne Muscular DystrophyMED.00144 · Commercial1Original policy ↗
Genetic Testing: Once per LifetimeG-23002 · Effective Jul 1, 2026 · Medicaid · NV—Original policy ↗
Global Surgery -FacilityC-17003 · Effective Apr 22, 2020 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Global Surgical PackageG-06041 · Effective Jan 30, 2023 · Medicaid · NV—Original policy ↗
Global Surgical Package - ProfessionalC-08007 · Effective Jun 14, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI159Original policy ↗
Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation Services - ProfessionalC-07002 · Effective Aug 13, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI1Original policy ↗
Hand TransplantationTRANS.00040 · Commercial1Original policy ↗
Health and Behavior Assessment and Intervention – ProfessionalC-11003 · Effective May 8, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI11Original policy ↗
HEDIS Benchmarks and Coding Guidelines for Quality CareMULTI-BCBS-CM-048427-23-CPN48295 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI467Original policy ↗
HEDIS ECDS Coding Booklet 2024 - MedicareMULTI-BCBS-CR-048500-23-CPN48308 · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI466Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · NV451Original policy ↗
High-volume Colonic IrrigationMED.00141 · Commercial1Original policy ↗
HysterectomyG-06164 · Effective Jul 17, 2024 · Medicaid · NV—Original policy ↗
Immediate Authorization Decisions via ICRCommercial, Medicaid · NV—Original policy ↗
Implanted Artificial Iris DevicesSURG.00156 · Commercial2Original policy ↗
Implants - FacilityC-14001 · Effective Mar 12, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Incident to Services and Billing - ProfessionalC-11002 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NH, NV, OH, WI—Original policy ↗
Inpatient Readmissions - FacilityC-17003 · Effective Mar 25, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Interactive Voice Response System (IVR) Quick Reference Guide – FEPCommercial · NV—Original policy ↗
Intraoperative NeuromonitoringC-24002 · Effective Nov 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Introducing Interactive Care Reviewer (ICR)Commercial · NV—Original policy ↗
LAB.00015 Detection of Circulating Tumor CellsLAB.00015 · Commercial8Original policy ↗
LAB.00016 Fecal Analysis Panels in the Diagnosis of Intestinal DisordersLAB.00016 · Commercial3Original policy ↗
LAB.00019 Algorithmic Tests for Liver FibrosisLAB.00019 · Commercial10Original policy ↗
LAB.00024 Immune Cell Function AssayLAB.00024 · Commercial4Original policy ↗
LAB.00025 Topographic GenotypingLAB.00025 · Commercial3Original policy ↗
LAB.00027 Selected Blood, Serum and Cellular Allergy and Toxicity TestsLAB.00027 · Commercial7Original policy ↗
LAB.00028 Blood-based Biomarker Tests for Multiple SclerosisLAB.00028 · Commercial4Original policy ↗
LAB.00029 Rupture of Membranes Testing in PregnancyLAB.00029 · Commercial1Original policy ↗
LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate CancerLAB.00033 · Commercial7Original policy ↗
LAB.00034 Serological Antibody Testing For Helicobacter PyloriLAB.00034 · Commercial1Original policy ↗
LAB.00035 Multi-biomarker Disease Activity Blood Tests for Rheumatoid ArthritisLAB.00035 · Commercial2Original policy ↗
LAB.00037 Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS)LAB.00037 · Commercial3Original policy ↗
LAB.00041 Machine Learning Derived Probability Score for Rapid Kidney Function DeclineLAB.00041 · Commercial2Original 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