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Anthem Blue Cross and Blue Shield Virginia policies, page 9

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
Once-per-Lifetime Procedures – ProfessionalC-15003 · Effective Mar 1, 2025 · Commercial · VA—Original policy ↗
Opiod Use Assessment BrochureCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or SnoringSURG.00129 · Commercial23Original policy ↗
Overhead Expense for Office Based Surgery and Diagnostic Testing- ProfessionalC-13002 · Effective Apr 6, 2018 · Commercial · VA2Original policy ↗
Pancreas Transplantation and Pancreas Kidney TransplantationTRANS.00011 · Commercial17Original policy ↗
Past medical history and medication linking in the medical recordCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Patient-Centered Specialty Care Module 3 Instructional WebinarCommercial · CT, GA, NH, VA—Original policy ↗
Percutaneous Spinal SurgerySURG.00071 · Commercial8Original policy ↗
Pharmaceutical Waste – ProfessionalC-11031 · Effective Mar 1, 2025 · Commercial · VA2Original policy ↗
Pharmacy Cost Reduction StrategiesCommercial · CT, GA, NH, VA—Original policy ↗
Physician Office Lab (POL) ListCommercial · VA109Original policy ↗
Place of Service - ProfessionalC-24004 · Effective Dec 1, 2025 · Commercial · VA—Original policy ↗
Portable Normothermic Organ Perfusion SystemsTRANS.00039 · Commercial10Original policy ↗
Powered Robotic Lower Body Exoskeleton DevicesOR-PR.00006 · Commercial2Original policy ↗
Practice Wisely, Save Time & Improve OutcomesCommercial · CT, GA, NH, VA—Original policy ↗
Practitioner Credentialing RightsCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Preferred Glucometer ProgramCommercial · CT, GA, NH, VA—Original policy ↗
Pregnancy: Your Birth Options After CesareanCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Preoperative Testing for Low Risk Invasive Procedures and SurgeriesCG-MED-61 · Commercial16Original policy ↗
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
Preventive Care Services Covered with No Member Cost-shareCommercial · VA—Original policy ↗
Preventive Health GuidelinesCommercial · VA—Original policy ↗
Professional Provider ManualEffective Dec 9, 2019 · Commercial · VA17Original policy ↗
Professional Provider ManualEffective Nov 1, 2019 · Commercial · VA17Original policy ↗
Professional Provider ManualEffective Sep 1, 2019 · Commercial · VA17Original policy ↗
Prolonged Services – ProfessionalC-08011 · Effective Dec 1, 2025 · Commercial · VA12Original policy ↗
Provider Appeal Policy and ProcedureCommercial · VA—Original policy ↗
Provider AppealsCommercial · VA—Original policy ↗
Provider Preventable Conditions – Professional and FacilityC-23002 · Effective Dec 1, 2023 · Commercial · VA—Original policy ↗
Quantitative Muscle Testing DevicesMED.00089 · Commercial1Original policy ↗
Quantitative Sensory TestingMED.00082 · Commercial6Original policy ↗
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity CareRAD.00038 · Commercial3Original policy ↗
RAD.00044 Magnetic Resonance NeurographyRAD.00044 · Commercial1Original policy ↗
RAD.00053 Cervical and Thoracic DiscographyRAD.00053 · Commercial2Original policy ↗
RAD.00064 Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed Tomography (SPECT)RAD.00064 · Commercial2Original policy ↗
RAD.00067 Quantitative Ultrasound for Tissue CharacterizationRAD.00067 · Commercial2Original policy ↗
RAD.00068 Myocardial Strain ImagingRAD.00068 · Commercial3Original policy ↗
Remote Devices for Intermittent Monitoring of Intraocular PressureDME.00050 · Commercial1Original policy ↗
Respiratory Viral Panel Testing in the Outpatient SettingCG-LAB-14 · Commercial10Original policy ↗
Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization Management (UM) GuidelineADMIN.00006 · Commercial—Original policy ↗
Robotic Arm Assistive DevicesDME.00044 · Commercial1Original policy ↗
Roster Automation Rules of EngagementMULTI-BCBS-CRCM-26126-23-CPN25245 · Commercial · CO, CT, GA, NH, OH, VA—Original policy ↗
Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal IncontinenceCG-SURG-95 · Commercial19Original policy ↗
Screening Services with Related Evaluation and Management ServicesC-12002 · Commercial · VA8Original policy ↗
Seat Lift MechanismsCG-DME-25 · Commercial5Original policy ↗
Selected Protein Biomarker Algorithmic AssaysLAB.00011 · Commercial9Original policy ↗
Serum Biomarker Tests for Risk of PreeclampsiaLAB.00040 · Commercial8Original policy ↗

Back to Anthem Blue Cross and Blue Shield Virginia · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list

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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