Anthem Blue Cross and Blue Shield Virginia policy
Liver Transplantation
Liver Transplantation is a public Anthem Blue Cross and Blue Shield Virginia policy (policy TRANS.00008). It lists 11 CPT or HCPCS codes, 11 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
- TRANS.00008
- 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 |
|---|---|---|---|
| 00796 | On the list | Anesthesia, Intraperitoneal Proc, Upper Abdomen, W/Laparoscopy; Liver Transplant, Recipient | Policies naming 00796 |
| 47133 | On the list | Donor Hepatectomy, W/Preparation & Maintenance, Allograft; Cadaver Donor | Policies naming 47133 |
| 47135 | On the list | Liver Allotransplantation; Orthotopic, Partial/Whole, Cadaver/Living Donor, Any Age | Policies naming 47135 |
| 47140 | On the list | Donor Hepatectomy, with Preparation and Maintenance of Allograft, Living Donor; Left Lateral Segment Only | Policies naming 47140 |
| 47141 | On the list | Donor Hepatectomy, with Preparation and Maintenance of Allograft, Living Donor; Total Left Lobectomy | Policies naming 47141 |
| 47142 | On the list | Donor Hepatectomy, with Preparation and Maintenance of Allograft, Living Donor; Total Right Lobectomy | Policies naming 47142 |
| 47143 | On the list | Backbench Standard Preparation Of Cadaver Donor Whole Liver Graft; Without Trisegment Or Lobe Split | Policies naming 47143 |
| 47144 | On the list | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom | Policies naming 47144 |
| 47145 | On the list | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectom | Policies naming 47145 |
| 47146 | On the list | Backbench Reconstruction Of Cadaver Or Living Donor Liver Graft Prior To Allotransplantation; Venous Anastomosis, Each | Policies naming 47146 |
| 47147 | On the list | Backbench Reconstruction Of Cadaver Or Living Donor Liver Graft Prior To Allotransplantation; Arterial Anastomosis, Each | Policies naming 47147 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list