Anthem Blue Cross Blue Shield of California policy
CG-DME-42 Continuous Glucose Monitoring Devices
CG-DME-42 Continuous Glucose Monitoring Devices is a public Anthem Blue Cross Blue Shield of California policy (policy CG-DME-42). It lists 15 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.
- Policy number
- CG-DME-42
- 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 |
|---|---|---|---|
| 0446T | Not listed | Policies naming 0446T | |
| 0448T | Not listed | Policies naming 0448T | |
| 95249 | Not listed | Policies naming 95249 | |
| 95250 | Not listed | Policies naming 95250 | |
| 95251 | Not listed | Policies naming 95251 | |
| A4238 | Not listed | Policies naming A4238 | |
| A4239 | Not listed | Policies naming A4239 | |
| A9276 | Not listed | Policies naming A9276 | |
| A9277 | Not listed | Policies naming A9277 | |
| A9278 | Not listed | Policies naming A9278 | |
| A9279 | On the list | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified [when specified as an ingestion event monitor, for example, ID-CAP System or Discover] | Policies naming A9279 |
| E2102 | Not listed | Policies naming E2102 | |
| E2103 | Not listed | Policies naming E2103 | |
| S1030 | Not listed | Policies naming S1030 | |
| S1031 | Not listed | Policies naming S1031 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list