Anthem Blue Cross and Blue Shield New Hampshire policy
SURG.00144 Occipital and Sphenopalatine Ganglion Nerve Block Therapy for the Treatment of Headache and Neuralgia
SURG.00144 Occipital and Sphenopalatine Ganglion Nerve Block Therapy for the Treatment of Headache and Neuralgia is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy SURG.00144). It lists 3 CPT or HCPCS codes, 3 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
- SURG.00144
- 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 |
|---|---|---|---|
| 64405 | On the list | Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve | Policies naming 64405 |
| 64450 | On the list | Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch | Policies naming 64450 |
| 64505 | On the list | Injection, anesthetic agent; sphenopalatine ganglion | Policies naming 64505 |
All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire prior authorization CPT list