Anthem Blue Cross and Blue Shield Virginia policy
CG-OR-PR-02 Prefabricated and Prophylactic Knee Braces
CG-OR-PR-02 Prefabricated and Prophylactic Knee Braces is a public Anthem Blue Cross and Blue Shield Virginia policy (policy CG-OR-PR-02). It lists 16 CPT or HCPCS codes, 0 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-OR-PR-02
- 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 Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| L1810 | Not listed | Policies naming L1810 | |
| L1812 | Not listed | Policies naming L1812 | |
| L1820 | Not listed | Policies naming L1820 | |
| L1821 | Not listed | Policies naming L1821 | |
| L1830 | Not listed | Policies naming L1830 | |
| L1831 | Not listed | Policies naming L1831 | |
| L1832 | Not listed | Policies naming L1832 | |
| L1833 | Not listed | Policies naming L1833 | |
| L1836 | Not listed | Policies naming L1836 | |
| L1843 | Not listed | Policies naming L1843 | |
| L1845 | Not listed | Policies naming L1845 | |
| L1847 | Not listed | Policies naming L1847 | |
| L1848 | Not listed | Policies naming L1848 | |
| L1850 | Not listed | Policies naming L1850 | |
| L1851 | Not listed | Policies naming L1851 | |
| L1852 | Not listed | Policies naming L1852 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list