Anthem Blue Cross and Blue Shield Virginia policy
Laboratory and Venipuncture Services - Professional and Facility
Laboratory and Venipuncture Services - Professional and Facility is a public Anthem Blue Cross and Blue Shield Virginia policy (policy C-21010, effective Mar 1, 2025). It lists 24 CPT or HCPCS codes, 3 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
- C-21010
- Effective
- Mar 1, 2025
- Line of business
- Commercial
- States
- VA
- 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 |
|---|---|---|---|
| 36400 | Not listed | Policies naming 36400 | |
| 36405 | Not listed | Policies naming 36405 | |
| 36406 | Not listed | Policies naming 36406 | |
| 36410 | Not listed | Policies naming 36410 | |
| 36415 | Not listed | Policies naming 36415 | |
| 36416 | Not listed | Policies naming 36416 | |
| 36591 | Not listed | Policies naming 36591 | |
| 36592 | Not listed | Policies naming 36592 | |
| 80047 | On the list | Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8256 | Policies naming 80047 |
| 80053 | On the list | Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, t | Policies naming 80053 |
| 99000 | Not listed | Policies naming 99000 | |
| 99001 | Not listed | Policies naming 99001 | |
| 99202 | Not listed | Policies naming 99202 | |
| 99205 | Not listed | Policies naming 99205 | |
| 99211 | Not listed | Policies naming 99211 | |
| 99215 | Not listed | Policies naming 99215 | |
| 99222 | Not listed | Policies naming 99222 | |
| 99226 | Not listed | Policies naming 99226 | |
| 99242 | Not listed | Policies naming 99242 | |
| 99255 | Not listed | Policies naming 99255 | |
| H0048 | On the list | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | Policies naming H0048 |
| P9603 | Not listed | Policies naming P9603 | |
| P9604 | Not listed | Policies naming P9604 | |
| S9529 | Not listed | Policies naming S9529 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list