Anthem Blue Cross Blue Shield of California policy
CG-ANC-05 Ambulance Services: Ground; Emergent
CG-ANC-05 Ambulance Services: Ground; Emergent is a public Anthem Blue Cross Blue Shield of California policy (policy CG-ANC-05). It lists 11 CPT or HCPCS codes, 1 of them on the Anthem Blue Cross Blue Shield of California prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-ANC-05
- 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 |
|---|---|---|---|
| A0225 | Not listed | Policies naming A0225 | |
| A0380 | Not listed | Policies naming A0380 | |
| A0390 | Not listed | Policies naming A0390 | |
| A0425 | Not listed | Policies naming A0425 | |
| A0427 | Not listed | Policies naming A0427 | |
| A0429 | Not listed | Policies naming A0429 | |
| A0432 | Not listed | Policies naming A0432 | |
| A0433 | Not listed | Policies naming A0433 | |
| A0434 | Not listed | Policies naming A0434 | |
| A0888 | On the list | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | Policies naming A0888 |
| A0998 | Not listed | Policies naming A0998 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list