Anthem Blue Cross Blue Shield of California policy
CG-REHAB-08 Private Duty Nursing in the Home Setting
CG-REHAB-08 Private Duty Nursing in the Home Setting is a public Anthem Blue Cross Blue Shield of California policy (policy CG-REHAB-08). It lists 7 CPT or HCPCS codes, 7 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-REHAB-08
- 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 |
|---|---|---|---|
| S9123 | On the list | Nursing care in the home ; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used) | Policies naming S9123 |
| S9124 | On the list | Nursing care in the home; by licensed practical nurse, per hour | Policies naming S9124 |
| T1000 | On the list | Private duty/independent nursing service(s), licensed, up to 15 minutes | Policies naming T1000 |
| T1002 | On the list | RN services, up to 15 minutes | Policies naming T1002 |
| T1003 | On the list | LPN/LVN services, up to 15 minutes | Policies naming T1003 |
| T1030 | On the list | Nursing care, in the home, by registered nurse, per diem | Policies naming T1030 |
| T1031 | On the list | Nursing care, in the home, by licensed practical nurse, per diem | Policies naming T1031 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list