Anthem Blue Cross Blue Shield of California policy
Autologous and Allogeneic Pancreatic Islet Cell Transplantation
Autologous and Allogeneic Pancreatic Islet Cell Transplantation is a public Anthem Blue Cross Blue Shield of California policy (policy TRANS.00010). It lists 9 CPT or HCPCS codes, 9 of them on the Anthem Blue Cross Blue Shield of California prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- TRANS.00010
- Line of business
- Commercial
- 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 Blue Shield of California prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of California policies |
|---|---|---|---|
| 0584T | On the list | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous | Policies naming 0584T |
| 0585T | On the list | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic | Policies naming 0585T |
| 0586T | On the list | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open | Policies naming 0586T |
| 48160 | On the list | Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells | Policies naming 48160 |
| 48999 | On the list | Unlisted procedure, pancreas [when specified as cryosurgical or radiofrequency ablation of pancreas tumor(s)] | Policies naming 48999 |
| G0341 | On the list | Percutaneous islet cell transplant, includes portal vein catheterization and infusion | Policies naming G0341 |
| G0342 | On the list | Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion | Policies naming G0342 |
| G0343 | On the list | Laparotomy for islet cell transplant, includes portal vein catheterization and infusion | Policies naming G0343 |
| S2102 | On the list | Islet cell tissue transplant from pancreas, allogeneic | Policies naming S2102 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list