Anthem Blue Cross and Blue Shield Virginia policy
Serum Biomarker Tests for Risk of Preeclampsia
Serum Biomarker Tests for Risk of Preeclampsia is a public Anthem Blue Cross and Blue Shield Virginia policy (policy LAB.00040). It lists 8 CPT or HCPCS codes, 5 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.00040
- 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 |
|---|---|---|---|
| 0243U | Not listed | Policies naming 0243U | |
| 0390U | Not listed | Policies naming 0390U | |
| 0482U | On the list | Obstetrics (preeclampsia), biochemical assay of soluble fms-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF), serum, ratio reported for sFlt-1/PlGF, with ris | Policies naming 0482U |
| 0524U | On the list | Obstetrics (preeclampsia), sFlt1/PlGF ratio, immunoassay, utilizing serum or plasma, reported as a value | Policies naming 0524U |
| 81599 | Not listed | Policies naming 81599 | |
| 82105 | On the list | Alpha-fetoprotein (AFP); serum | Policies naming 82105 |
| 84163 | On the list | Pregnancy-Associated Plasma Protein-A (Papp-A) | Policies naming 84163 |
| 84704 | On the list | Gonadotropin, chorionic (hCG); free beta chain | Policies naming 84704 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list