Anthem Blue Cross Blue Shield of California policy
LAB.00051 Per- and Polyfluoroalkyl Substances (PFAS) Testing
LAB.00051 Per- and Polyfluoroalkyl Substances (PFAS) Testing is a public Anthem Blue Cross Blue Shield of California policy (policy LAB.00051). It lists 7 CPT or HCPCS codes, 4 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
- LAB.00051
- 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 |
|---|---|---|---|
| 0394U | Not listed | Policies naming 0394U | |
| 0457U | On the list | Perfluoroalkyl substances (PFAS) (e.g., perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC-MS/MS, plasma or serum, quantitative | Policies naming 0457U |
| 0535U | Not listed | Policies naming 0535U | |
| 0589U | Not listed | Policies naming 0589U | |
| 82542 | On the list | Column chromatography, includes mass spectrometry, if performed (e.g., HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS- MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen [when specified as testing for PFAS] | Policies naming 82542 |
| 83921 | On the list | Organic acid, single, quantitative [when specified as testing for PFAS] | Policies naming 83921 |
| 84999 | On the list | Unlisted chemistry procedure | Policies naming 84999 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list