Anthem Blue Cross and Blue Shield Virginia policy
Modifiers 80, 81, 82 and AS: Assistant at Surgery – Professional
Modifiers 80, 81, 82 and AS: Assistant at Surgery – Professional is a public Anthem Blue Cross and Blue Shield Virginia policy (policy C-08006, effective Mar 1, 2025). It lists 42 CPT or HCPCS codes, 15 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- C-08006
- 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 |
|---|---|---|---|
| 0302T | Not listed | Policies naming 0302T | |
| 0303T | Not listed | Policies naming 0303T | |
| 0304T | Not listed | Policies naming 0304T | |
| 0307T | Not listed | Policies naming 0307T | |
| 0308T | Not listed | Policies naming 0308T | |
| 0347T | Not listed | Policies naming 0347T | |
| 0356T | Not listed | Policies naming 0356T | |
| 0437T | Not listed | Policies naming 0437T | |
| 0438T | Not listed | Policies naming 0438T | |
| 0441T | On the list | Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve | Policies naming 0441T |
| 0442T | On the list | Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve) | Policies naming 0442T |
| 0445T | Not listed | Policies naming 0445T | |
| 0474T | On the list | Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space | Policies naming 0474T |
| 0479T | Not listed | Policies naming 0479T | |
| 0483T | On the list | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed | Policies naming 0483T |
| 0484T | On the list | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) | Policies naming 0484T |
| 15733 | Not listed | Policies naming 15733 | |
| 19294 | Not listed | Policies naming 19294 | |
| 20939 | On the list | Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) | Policies naming 20939 |
| 29838 | Not listed | Policies naming 29838 | |
| 31241 | Not listed | Policies naming 31241 | |
| 31253 | On the list | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when perfor | Policies naming 31253 |
| 31257 | On the list | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy | Policies naming 31257 |
| 31259 | On the list | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus | Policies naming 31259 |
| 31298 | On the list | Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia | Policies naming 31298 |
| 32994 | On the list | Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging | Policies naming 32994 |
| 36465 | On the list | Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; singl | Policies naming 36465 |
| 36466 | On the list | Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multi | Policies naming 36466 |
| 36482 | On the list | Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all | Policies naming 36482 |
| 36483 | Not listed | Policies naming 36483 | |
| 38222 | Not listed | Policies naming 38222 | |
| 55874 | On the list | Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed | Policies naming 55874 |
| 61645 | Not listed | Policies naming 61645 | |
| C9724 | Not listed | Policies naming C9724 | |
| C9725 | Not listed | Policies naming C9725 | |
| C9732 | Not listed | Policies naming C9732 | |
| C9738 | Not listed | Policies naming C9738 | |
| C9748 | Not listed | Policies naming C9748 | |
| C9749 | Not listed | Policies naming C9749 | |
| G0516 | Not listed | Policies naming G0516 | |
| G0517 | Not listed | Policies naming G0517 | |
| G0518 | Not listed | Policies naming G0518 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list