Anthem Blue Cross and Blue Shield Virginia policy
Modifier Usage – Professional
Modifier Usage – Professional is a public Anthem Blue Cross and Blue Shield Virginia policy (policy C-08010, effective Mar 1, 2025). It lists 12 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-08010
- 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 |
|---|---|---|---|
| 86701 | On the list | Antibody; Hiv-1 | Policies naming 86701 |
| 86703 | On the list | Antibody; HIV-1 and HIV-2, single result | Policies naming 86703 |
| 87389 | On the list | Infectious agent antigen detection by immunoassay technique, (eg, enzy | Policies naming 87389 |
| 99211 | Not listed | Policies naming 99211 | |
| 99291 | Not listed | Policies naming 99291 | |
| 99292 | Not listed | Policies naming 99292 | |
| 99468 | Not listed | Policies naming 99468 | |
| 99469 | Not listed | Policies naming 99469 | |
| 99471 | Not listed | Policies naming 99471 | |
| 99472 | Not listed | Policies naming 99472 | |
| 99475 | Not listed | Policies naming 99475 | |
| 99476 | Not listed | Policies naming 99476 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list