Anthem Blue Cross and Blue Shield Virginia policy
CG-SURG-81 Cochlear Implants and Auditory Brainstem Implants
CG-SURG-81 Cochlear Implants and Auditory Brainstem Implants is a public Anthem Blue Cross and Blue Shield Virginia policy (policy CG-SURG-81). It lists 8 CPT or HCPCS codes, 5 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-SURG-81
- 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 |
|---|---|---|---|
| 69930 | On the list | Cochlear Device Implantation, W/Wo Mastoidectomy | Policies naming 69930 |
| 69949 | Not listed | Policies naming 69949 | |
| L8614 | On the list | COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | Policies naming L8614 |
| L8619 | On the list | Cochlear Implant, External Speech Processor And Controller, Integrated System, Replacement | Policies naming L8619 |
| L8627 | On the list | Cochlear Implant, External Speech Processor, Component, Replacement | Policies naming L8627 |
| L8628 | On the list | Cochlear Implant, External Controller Component, Replacement | Policies naming L8628 |
| L8699 | Not listed | Policies naming L8699 | |
| S2235 | Not listed | Policies naming S2235 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list