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Anthem Blue Cross and Blue Shield Virginia policies

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.

15877 is on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. See its prior authorization entry

6 policies name 15877, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Anthem Blue Cross and Blue Shield Virginia policies
PolicyDetailsCodesSource
CG-SURG-71 Reduction MammaplastyCG-SURG-71 · Commercial2Original policy ↗
CG-SURG-88 Mastectomy for GynecomastiaCG-SURG-88 · Commercial2Original policy ↗
CG-SURG-99 Panniculectomy and AbdominoplastyCG-SURG-99 · Commercial5Original policy ↗
CG-SURG-116 Surgical Treatment of HyperhidrosisCG-SURG-116 · Commercial9Original policy ↗
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and ExtremitiesANC.00009 · Commercial23Original policy ↗
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast ProceduresSURG.00023 · Commercial30Original policy ↗

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

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