Anthem Blue Cross Blue Shield of California policy
CG-OR-PR-03 Custom-made Knee Braces
CG-OR-PR-03 Custom-made Knee Braces is a public Anthem Blue Cross Blue Shield of California policy (policy CG-OR-PR-03). It lists 6 CPT or HCPCS codes, 0 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-OR-PR-03
- 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 |
|---|---|---|---|
| L1834 | Not listed | Policies naming L1834 | |
| L1840 | Not listed | Policies naming L1840 | |
| L1844 | Not listed | Policies naming L1844 | |
| L1846 | Not listed | Policies naming L1846 | |
| L1860 | Not listed | Policies naming L1860 | |
| L2861 | Not listed | Policies naming L2861 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list