Anthem Blue Cross Blue Shield of California policy

CG-SURG-84 Mandibular/Maxillary (Orthognathic) Surgery

CG-SURG-84 Mandibular/Maxillary (Orthognathic) Surgery is a public Anthem Blue Cross Blue Shield of California policy (policy CG-SURG-84). It lists 45 CPT or HCPCS codes, 44 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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Payer
Anthem Blue Cross Blue Shield of California
Policy number
CG-SURG-84
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.

CodePrior authorizationDescription on the prior authorization listOther Anthem Blue Cross Blue Shield of California policies
00129Not listedPolicies naming 00129
21120On the listGenioplastyPolicies naming 21120
21121On the listGenioplastyPolicies naming 21121
21122On the listGenioplastyPolicies naming 21122
21123On the listGenioplastyPolicies naming 21123
21125On the listAugmentation, mandibular body or angle; prosthetic materialPolicies naming 21125
21127On the listAugmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)Policies naming 21127
21141On the listReconstruction midface, LeFort IPolicies naming 21141
21142On the listReconstruction midface, LeFort IPolicies naming 21142
21143On the listReconstruction midface, LeFort IPolicies naming 21143
21145On the listReconstruction midface, LeFort IPolicies naming 21145
21146On the listReconstruction midface, LeFort IPolicies naming 21146
21147On the listReconstruction midface, LeFort IPolicies naming 21147
21150On the listReconstruction midface, LeFort IIPolicies naming 21150
21151On the listReconstruction midface, LeFort IIPolicies naming 21151
21154On the listReconstruction midface, LeFort IIIPolicies naming 21154
21155On the listReconstruction midface, LeFort IIIPolicies naming 21155
21188On the listReconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)Policies naming 21188
21193On the listReconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graftPolicies naming 21193
21194On the listMandibular/Maxillary (Orthognathic) Surgery - Reconstruction of mandibular rami, horizontal, vertical, C or L osteotomy; with bone graftPolicies naming 21194
21195On the listReconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixationPolicies naming 21195
21196On the listReconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixationPolicies naming 21196
21198On the listOsteotomy, mandible, segmentalPolicies naming 21198
21199On the listOsteotomy, mandible, segmental; with genioglossus advancementPolicies naming 21199
21206On the listOsteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)Policies naming 21206
21208On the listOsteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)Policies naming 21208
21209On the listOsteoplasty, facial bones; reductionPolicies naming 21209
21210On the listGraft, bone; nasal, maxillary or malar areas (includes obtaining graft)Policies naming 21210
21215On the listGraft, bone; mandible (includes obtaining graft)Policies naming 21215
21244On the listReconstruction of mandible, extraoral, with transosteal bone plate (e.g., mandibular staple bone plate)Policies naming 21244
21245On the listReconstruction of mandible or maxilla, subperiosteal implant; partialPolicies naming 21245
21246On the listReconstruction of mandible or maxilla, subperiosteal implant; completePolicies naming 21246
21247On the listReconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia)Policies naming 21247
D7940On the listOsteoplasty, for orthognathic deformitiesPolicies naming D7940
D7941On the listOsteotomy - mandibular ramiPolicies naming D7941
D7943On the listOsteotomy - mandibular rami with bone graft; includes obtaining the graftPolicies naming D7943
D7944On the listOsteotomy-segmented or subapicalPolicies naming D7944
D7945On the listOsteotomy, body of mandiblePolicies naming D7945
D7946On the listLeFort I (maxilla, total)Policies naming D7946
D7947On the listLeFort I (maxilla, segmented)Policies naming D7947
D7948On the listLeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion), without bone graftPolicies naming D7948
D7949On the listLeFort II or LeFort III, with bone graftPolicies naming D7949
D7950On the listOsseous, osteoperiosteal, or cartilage graft of the mandible or maxilla, autogenous or nonautogenous, by reportPolicies naming D7950
D7995On the listSynthetic graft, mandible or facial bones, by reportPolicies naming D7995
D7996On the listImplant, mandible for augmentation purposes (excluding alveolar ridge), by reportPolicies naming D7996

All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list

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