Anthem Blue Cross and Blue Shield Virginia policy
VIRGINIA FACILITY PROVIDER MANUAL
VIRGINIA FACILITY PROVIDER MANUAL is a public Anthem Blue Cross and Blue Shield Virginia policy (effective Apr 1, 2016). It lists 18 CPT or HCPCS codes, 0 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) ↗
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- Effective
- Apr 1, 2016
- 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 |
|---|---|---|---|
| 90801 | Not listed | Policies naming 90801 | |
| 90899 | Not listed | Policies naming 90899 | |
| 99234 | Not listed | Policies naming 99234 | |
| 99235 | Not listed | Policies naming 99235 | |
| 99236 | Not listed | Policies naming 99236 | |
| 99281 | Not listed | Policies naming 99281 | |
| 99282 | Not listed | Policies naming 99282 | |
| 99283 | Not listed | Policies naming 99283 | |
| 99284 | Not listed | Policies naming 99284 | |
| 99285 | Not listed | Policies naming 99285 | |
| G0378 | Not listed | Policies naming G0378 | |
| G0379 | Not listed | Policies naming G0379 | |
| G0380 | Not listed | Policies naming G0380 | |
| G0381 | Not listed | Policies naming G0381 | |
| G0382 | Not listed | Policies naming G0382 | |
| G0383 | Not listed | Policies naming G0383 | |
| G0384 | Not listed | Policies naming G0384 | |
| S2900 | Not listed | Policies naming S2900 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list