Anthem Blue Cross Blue Shield of California policy
CG-SURG-78 Locoregional Techniques for Treating Primary and Metastatic Liver Malignancies
CG-SURG-78 Locoregional Techniques for Treating Primary and Metastatic Liver Malignancies is a public Anthem Blue Cross Blue Shield of California policy (policy CG-SURG-78). 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.
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- Policy number
- CG-SURG-78
- 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 |
|---|---|---|---|
| 47370 | On the list | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency | Policies naming 47370 |
| 47371 | On the list | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical | Policies naming 47371 |
| 47380 | On the list | Ablation, open, of 1 or more liver tumor(s); radiofrequency | Policies naming 47380 |
| 47381 | On the list | Ablation, open, of 1 or more liver tumor(s); cryosurgical | Policies naming 47381 |
| 47382 | On the list | Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency | Policies naming 47382 |
| 47383 | On the list | Ablation, 1 or more liver tumor(s), percutaneous, cryoablation | Policies naming 47383 |
| 47399 | On the list | Unlisted procedure, liver [when specified as histotripsy of nonmalignant lesion of liver] | Policies naming 47399 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list