Talk to Us

Anthem Blue Cross and Blue Shield New Hampshire policies, page 9

Search Anthem Blue Cross and Blue Shield New Hampshire'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.

597 public policies Substrate tracks for Anthem Blue Cross and Blue Shield New Hampshire, by title.

Anthem Blue Cross and Blue Shield New Hampshire policies
PolicyDetailsCodesSource
MED.00152 Outpatient Intravenous Insulin TherapyMED.00152 · Commercial1Original policy ↗
Medical Management Interactive Voice Response (IVR) for Connecticut, Maine and New HampshireCommercial · CT, ME, NH—Original policy ↗
Medicare Advantage 2017 Precertification RequirementsEffective Jan 1, 2017 · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI132Original policy ↗
Medicare Advantage 2018 Precertification RequirementsEffective Jan 1, 2018 · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI158Original policy ↗
Medicare Advantage Precertification Requirements – 2019CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI191Original policy ↗
Medicare Advantage Provider ManualMULTI-BCBS-CR-PM-008700-26-GRP2620 · Effective Apr 1, 2026 · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, WI—Original policy ↗
Moderate (Conscious) Sedation – Professional and FacilityC-25001 · Effective Oct 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Modifier 22 – ProfessionalC-12003 · Effective May 6, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier 62 – ProfessionalC-21005 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI—Original policy ↗
Modifier 66 – ProfessionalC-21006 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier FB – Professional and FacilityC-22003 · Effective Oct 1, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier Usage - FacilityC-23005 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier Usage – ProfessionalC-08010 · Effective Jun 3, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI12Original policy ↗
Modifiers 25 and 57: Evaluation and Management with Global ProceduresC-09011 · Effective Nov 23, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI8Original policy ↗
Modifiers 26 and TC: Professional and Technical Component - ProfessionalC-20004 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifiers 50 and 51: Multiple and Bilateral Surgery - ProfessionalC-08004 · Effective Oct 30, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI63Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI187Original policy ↗
Modifiers 80, 81, 82 and AS: Assistant at Surgery - ProfessionalC-08006 · Effective Sep 27, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI44Original policy ↗
Modifiers 90, 91, and 92: Laboratory Services – Professional and FacilityC-26002 · Effective Nov 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Module 1 PDSA ExampleCommercial · CT, GA, NH, VA—Original policy ↗
Module 2 PDSA ExampleCommercial · CT, GA, NH, VA—Original policy ↗
Module 3 PDSA ExampleCommercial · CT, GA, NH, VA—Original policy ↗
Molecular Signature Test for Predicting Response to Tumor Necrosis Factor Inhibitor TherapyLAB.00042 · Commercial1Original policy ↗
MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic IndicationsMED.00057 · Commercial6Original policy ↗
Multiple Delivery Services – ProfessionalC-19005 · Effective Apr 29, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Multiple Diagnostic Imaging Procedures – Professional and FacilityC-25003 · Effective Oct 26, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Multiple Procedure Payment Reduction – ProfessionalC-23003 · Effective Apr 12, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI—Original policy ↗
Multiplex Autoantigen Microarray Testing for Systemic Lupus ErythematosusLAB.00036 · Commercial2Original policy ↗
Near-Infrared Coronary Imaging and Near-Infrared Intravascular Ultrasound Coronary ImagingRAD.00057 · Commercial1Original policy ↗
NEW HAMPSHIRE PROVIDER MANUALEffective Jul 1, 2019 · Commercial · NH25Original policy ↗
NEW HAMPSHIRE PROVIDER MANUALEffective Oct 1, 2019 · Commercial · NH25Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-056380-24 v2.080124 · Effective Aug 1, 2024 · Commercial · NH91Original policy ↗
NEW HAMPSHIRE PROVIDER MANUALCommercial · NH1Original policy ↗
NEW HAMPSHIRE PROVIDER MANUALEffective Jan 1, 2021 · Commercial · NH25Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Jul 1, 2025 · Commercial · NH110Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Jan 1, 2026 · Commercial · NH110Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Sep 1, 2025 · Commercial · NH110Original policy ↗
NEW HAMPSHIRE PROVIDER MANUALEffective Jul 1, 2020 · Commercial · NH25Original policy ↗
New Hampshire Provider ManualEffective Jul 1, 2022 · Commercial · NH25Original policy ↗
Non-invasive Cardiac Management and Monitoring SystemsMED.00134 · Commercial5Original policy ↗
Nurse Practitioner and Physician Assistant Services - ProfessionalC-20001 · Effective Feb 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI7Original policy ↗
OB/GYN Referral Preparedness Tool (Blank Template)Commercial · CT, GA, NH, VA—Original policy ↗
Observation Services - FacilityC-11005 · Effective Feb 1, 2026 · Commercial · NH14Original policy ↗
Once-per-Lifetime Procedures – ProfessionalC-15003 · Effective Aug 13, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Operating RoomCommercial · NH—Original policy ↗
Opiod Use Assessment BrochureCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or SnoringSURG.00129 · Commercial23Original policy ↗
OrthoNet Fact sheetCommercial · NH—Original policy ↗
OrthoNet Physical and Occupational Therapy Program FAQsCommercial · NH4Original policy ↗
Outpatient Drug Screen Testing- FacilityC-17004 · Effective Jun 8, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI5Original policy ↗

Back to Anthem Blue Cross and Blue Shield New Hampshire · 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.

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