Anthem Blue Cross and Blue Shield Virginia policy
CG-SURG-99 Panniculectomy and Abdominoplasty
CG-SURG-99 Panniculectomy and Abdominoplasty is a public Anthem Blue Cross and Blue Shield Virginia policy (policy CG-SURG-99). It lists 5 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- CG-SURG-99
- 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 |
|---|---|---|---|
| 15830 | On the list | Excision, excessive skin and subcutaneous tissue (incluedes lipectomy, abdomen, infraumbilical panniculectomy | Policies naming 15830 |
| 15847 | Not listed | Policies naming 15847 | |
| 15877 | On the list | Suction Assisted Lipectomy; Trunk | Policies naming 15877 |
| 17999 | Not listed | Policies naming 17999 | |
| 22999 | Not listed | Policies naming 22999 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list