Anthem Blue Cross and Blue Shield New Hampshire policy

Anthem Blue Cross and Blue Shield New Hampshire Provider Manual

Anthem Blue Cross and Blue Shield New Hampshire Provider Manual is a public Anthem Blue Cross and Blue Shield New Hampshire policy (effective Jul 1, 2023). It lists 91 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

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Payer
Anthem Blue Cross and Blue Shield New Hampshire
Effective
Jul 1, 2023
Line of business
Commercial
States
NH
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 New Hampshire prior authorization list.

CodePrior authorizationDescription on the prior authorization listOther Anthem Blue Cross and Blue Shield New Hampshire policies
00001Not listedPolicies naming 00001
01967Not listedPolicies naming 01967
03101Not listedPolicies naming 03101
06473Not listedPolicies naming 06473
12345Not listedPolicies naming 12345
30308Not listedPolicies naming 30308
36415Not listedPolicies naming 36415
36416Not listedPolicies naming 36416
44135On the listIntestinal allotransplantation; from cadaver donorPolicies naming 44135
44193Not listedPolicies naming 44193
59400Not listedPolicies naming 59400
59410Not listedPolicies naming 59410
59510Not listedPolicies naming 59510
59515Not listedPolicies naming 59515
59610Not listedPolicies naming 59610
59612Not listedPolicies naming 59612
59614Not listedPolicies naming 59614
59618Not listedPolicies naming 59618
59620Not listedPolicies naming 59620
59622Not listedPolicies naming 59622
73651Not listedPolicies naming 73651
82075Not listedPolicies naming 82075
90785Not listedPolicies naming 90785
90791Not listedPolicies naming 90791
90792Not listedPolicies naming 90792
90832Not listedPolicies naming 90832
90833Not listedPolicies naming 90833
90834Not listedPolicies naming 90834
90836Not listedPolicies naming 90836
90837Not listedPolicies naming 90837
90838Not listedPolicies naming 90838
90839Not listedPolicies naming 90839
90840Not listedPolicies naming 90840
90846Not listedPolicies naming 90846
90847Not listedPolicies naming 90847
90849Not listedPolicies naming 90849
90853Not listedPolicies naming 90853
90887Not listedPolicies naming 90887
94760Not listedPolicies naming 94760
94761Not listedPolicies naming 94761
94762Not listedPolicies naming 94762
96127Not listedPolicies naming 96127
96156Not listedPolicies naming 96156
96158Not listedPolicies naming 96158
96159Not listedPolicies naming 96159
96164Not listedPolicies naming 96164
96165Not listedPolicies naming 96165
96167Not listedPolicies naming 96167
96168Not listedPolicies naming 96168
96170Not listedPolicies naming 96170
96171Not listedPolicies naming 96171
96202Not listedPolicies naming 96202
96203Not listedPolicies naming 96203
96365On the listIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourPolicies naming 96365
96366Not listedPolicies naming 96366
96368Not listedPolicies naming 96368
96374Not listedPolicies naming 96374
96379Not listedPolicies naming 96379
98966Not listedPolicies naming 98966
98967Not listedPolicies naming 98967
98968Not listedPolicies naming 98968
98978Not listedPolicies naming 98978
99001Not listedPolicies naming 99001
99251Not listedPolicies naming 99251
99252Not listedPolicies naming 99252
99253Not listedPolicies naming 99253
99254Not listedPolicies naming 99254
99255Not listedPolicies naming 99255
99304Not listedPolicies naming 99304
99305Not listedPolicies naming 99305
99306Not listedPolicies naming 99306
99307Not listedPolicies naming 99307
99308Not listedPolicies naming 99308
99309Not listedPolicies naming 99309
99310Not listedPolicies naming 99310
99441Not listedPolicies naming 99441
99442Not listedPolicies naming 99442
99443Not listedPolicies naming 99443
99484Not listedPolicies naming 99484
99492Not listedPolicies naming 99492
99493Not listedPolicies naming 99493
99494Not listedPolicies naming 99494
G0001Not listedPolicies naming G0001
G0511Not listedPolicies naming G0511
G0512Not listedPolicies naming G0512
G2011Not listedPolicies naming G2011
G2213Not listedPolicies naming G2213
G2214Not listedPolicies naming G2214
J0610Not listedPolicies naming J0610
S2900Not listedPolicies naming S2900
S9485Not listedPolicies naming S9485

All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire 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.