Anthem Blue Cross Blue Shield of California policy
CG-SURG-76 Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty
CG-SURG-76 Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty is a public Anthem Blue Cross Blue Shield of California policy (policy CG-SURG-76). It lists 11 CPT or HCPCS codes, 2 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-SURG-76
- 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 |
|---|---|---|---|
| 0075T | Not listed | Policies naming 0075T | |
| 0076T | Not listed | Policies naming 0076T | |
| 37215 | Not listed | Policies naming 37215 | |
| 37216 | Not listed | Policies naming 37216 | |
| 37246 | Not listed | Policies naming 37246 | |
| 61624 | Not listed | Policies naming 61624 | |
| 61630 | On the list | Balloon angioplasty, intracranial (e.g., atherosclerotic stenosis), percutaneous | Policies naming 61630 |
| 61635 | On the list | Transcatheter placement of intravascular stent(s), intracranial (e.g., atherosclerotic stenosis), including balloon angioplasty, if performed | Policies naming 61635 |
| 61640 | Not listed | Policies naming 61640 | |
| 61641 | Not listed | Policies naming 61641 | |
| 61642 | Not listed | Policies naming 61642 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list