Anthem Blue Cross and Blue Shield Virginia policy
LAB.00019 Algorithmic Tests for Liver Fibrosis
LAB.00019 Algorithmic Tests for Liver Fibrosis is a public Anthem Blue Cross and Blue Shield Virginia policy (policy LAB.00019). It lists 10 CPT or HCPCS codes, 6 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
- LAB.00019
- 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 |
|---|---|---|---|
| 0002M | On the list | Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizi | Policies naming 0002M |
| 0003M | On the list | Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizi | Policies naming 0003M |
| 0166U | On the list | Liver disease, 10 biochemical assays (+2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric a | Policies naming 0166U |
| 0344U | On the list | Hepatology (nonalcoholic fatty liver disease [NAFLD]), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS), serum | Policies naming 0344U |
| 0468U | Not listed | Policies naming 0468U | |
| 0665U | Not listed | Policies naming 0665U | |
| 81517 | On the list | Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immuno | Policies naming 81517 |
| 81596 | On the list | Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2- macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utiliz | Policies naming 81596 |
| 81599 | Not listed | Policies naming 81599 | |
| 84999 | Not listed | Policies naming 84999 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list