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.
64575 is on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. See its prior authorization entry
3 policies name 64575, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| SURG.00158 Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain | SURG.00158 · Commercial | 16 | Original policy ↗ |
| SURG.00112 Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures) | SURG.00112 · Commercial | 18 | Original policy ↗ |
| CG-MED-79 Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems | CG-MED-79 · Commercial | 21 | Original policy ↗ |
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