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Anthem Blue Cross and Blue Shield Virginia policies, page 11

Search Anthem Blue Cross and Blue Shield Virginia's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

555 public policies Substrate tracks for Anthem Blue Cross and Blue Shield Virginia, by title.

Anthem Blue Cross and Blue Shield Virginia policies
PolicyDetailsCodesSource
SURG.00159 Focal Laser Ablation for the Treatment of Prostate CancerSURG.00159 · Commercial1Original policy ↗
SURG.00160 Implanted Port Delivery Systems to Treat Ocular DiseaseSURG.00160 · Commercial2Original policy ↗
SURG.00161 Nanoparticle-Mediated Thermal AblationSURG.00161 · Commercial4Original policy ↗
SURG.00162 Implantable Shock Absorber for Treatment of Knee OsteoarthritisSURG.00162 · Commercial4Original policy ↗
SURG.00165 HistotripsySURG.00165 · Commercial5Original policy ↗
Systems Pathology and Multimodal Artificial Intelligence Testing for Cancerous and Precancerous ConditionsLAB.00026 · Commercial5Original policy ↗
Technology Assisted Surgical Procedures - Professional and FacilityC-21008 · Effective Dec 1, 2023 · Commercial · VA4Original policy ↗
The BlueCard Program Provider ManualEffective Jan 1, 2022 · Commercial, Medicaid · VA—Original policy ↗
THER-RAD.00012 Electrophysiology-Guided Noninvasive Stereotactic Cardiac RadioablationTHER-RAD.00012 · Commercial3Original policy ↗
Three-Dimensional (3D) Radiology Services – Professional and FacilityC-22004 · Effective Mar 1, 2025 · Commercial · VA2Original policy ↗
Timely and Accurate Payment for Secondary Payer Medicare ClaimsCommercial · VA—Original policy ↗
TRANS.00004 Cell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft)TRANS.00004 · Commercial2Original policy ↗
TRANS.00009 Lung and Lobar TransplantationTRANS.00009 · Commercial9Original policy ↗
TRANS.00023 Hematopoietic Stem Cell Transplantation for Multiple Myeloma and Other Plasma Cell DyscrasiasTRANS.00023 · Commercial19Original policy ↗
TRANS.00024 Hematopoietic Stem Cell Transplantation for Select Leukemias and Myelodysplastic SyndromeTRANS.00024 · Commercial19Original policy ↗
TRANS.00026 Heart/Lung TransplantationTRANS.00026 · Commercial4Original policy ↗
TRANS.00027 Hematopoietic Stem Cell Transplantation for Pediatric Solid TumorsTRANS.00027 · Commercial19Original policy ↗
TRANS.00028 Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin LymphomaTRANS.00028 · Commercial19Original policy ↗
TRANS.00029 Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic AnemiasTRANS.00029 · Commercial26Original policy ↗
TRANS.00030 Hematopoietic Stem Cell Transplantation for Germ Cell TumorsTRANS.00030 · Commercial19Original policy ↗
TRANS.00031 Hematopoietic Stem Cell Transplantation for Autoimmune Disease and Miscellaneous Solid TumorsTRANS.00031 · Commercial19Original policy ↗
TRANS.00033 Heart TransplantationTRANS.00033 · Commercial5Original policy ↗
TRANS.00034 Hematopoietic Stem Cell Transplantation for Diabetes MellitusTRANS.00034 · Commercial19Original policy ↗
TRANS.00035 Therapeutic use of Stem Cells, Blood and Bone Marrow ProductsTRANS.00035 · Commercial27Original policy ↗
TRANS.00037 Uterine TransplantationTRANS.00037 · Commercial7Original policy ↗
TRANS.00038 Thymus Tissue TransplantationTRANS.00038 · Commercial3Original policy ↗
Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve ProceduresSURG.00121 · Commercial15Original policy ↗
Transcranial Magnetic Stimulation (TMS) Request Form - CommercialCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI2Original policy ↗
Transitional Care Management - ProfessionalC-22002 · Effective Dec 1, 2023 · Commercial · VA2Original policy ↗
Upper Extremity Myoelectric OrthosesOR-PR.00005 · Commercial5Original policy ↗
Uterine Fibroid Ablation: Laparoscopic, Percutaneous or Transcervical Image Guided TechniquesSURG.00077 · Commercial4Original policy ↗
Vaccinations - AdolescentCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Vanderbilt ADHD Diagnostic Parent Rating ScaleCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
View more information about balance billing.Commercial · VA—Original policy ↗
Virginia Affiliate ListingCommercial, Medicaid · VA—Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Sep 21, 2017 · Commercial · VA32Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Apr 1, 2016 · Commercial · VA18Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective May 1, 2017 · Commercial · VA32Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Feb 1, 2018 · Commercial · VA32Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Apr 1, 2018 · Commercial · VA33Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Oct 23, 2019 · Commercial · VA58Original policy ↗
Virginia Facility Provider ManualVABCBS-CM-PM-086206-25 · Effective Aug 1, 2025 · Commercial · VA90Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Aug 1, 2015 · Commercial · VA18Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective May 1, 2019 · Commercial · VA58Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Aug 23, 2019 · Commercial · VA58Original policy ↗
Virginia Facility Provider Manual Revised August 1, 2024VABCBS-CM-PM-061543-24 v2A.08152024 · Effective Aug 1, 2024 · Commercial · VA90Original policy ↗
Virginia Professional Provider ManualEffective Sep 24, 2020 · Commercial · VA113Original policy ↗
Virginia Professional Provider ManualVABCBS-CM-PM-072981-24 · Effective Mar 1, 2025 · Commercial · VA143Original policy ↗
Virginia Professional Provider ManualEffective Oct 1, 2024 · Commercial · VA141Original policy ↗
Virginia Professional Provider ManualEffective Dec 1, 2023 · Commercial · VA141Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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