Anthem Blue Cross Blue Shield of California policy
CG-DME-16 Pressure-Reducing Support Surfaces
CG-DME-16 Pressure-Reducing Support Surfaces is a public Anthem Blue Cross Blue Shield of California policy (policy CG-DME-16). It lists 22 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-DME-16
- 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 |
|---|---|---|---|
| A4640 | Not listed | Policies naming A4640 | |
| E0181 | Not listed | Policies naming E0181 | |
| E0182 | Not listed | Policies naming E0182 | |
| E0183 | Not listed | Policies naming E0183 | |
| E0184 | Not listed | Policies naming E0184 | |
| E0185 | Not listed | Policies naming E0185 | |
| E0186 | Not listed | Policies naming E0186 | |
| E0187 | Not listed | Policies naming E0187 | |
| E0188 | Not listed | Policies naming E0188 | |
| E0189 | Not listed | Policies naming E0189 | |
| E0193 | Not listed | Policies naming E0193 | |
| E0194 | Not listed | Policies naming E0194 | |
| E0196 | Not listed | Policies naming E0196 | |
| E0197 | Not listed | Policies naming E0197 | |
| E0198 | Not listed | Policies naming E0198 | |
| E0199 | Not listed | Policies naming E0199 | |
| E0272 | Not listed | Policies naming E0272 | |
| E0277 | Not listed | Policies naming E0277 | |
| E0371 | Not listed | Policies naming E0371 | |
| E0372 | Not listed | Policies naming E0372 | |
| E0373 | Not listed | Policies naming E0373 | |
| E1399 | On the list | Durable medical equipment, miscellaneous | Policies naming E1399 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list