Anthem Blue Cross and Blue Shield New Hampshire policy
MED.00090 Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders
MED.00090 Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy MED.00090). It lists 1 CPT or HCPCS code, 1 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.
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- Policy number
- MED.00090
- 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 New Hampshire prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield New Hampshire policies |
|---|---|---|---|
| 91112 | On the list | Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report | Policies naming 91112 |
All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire prior authorization CPT list