Anthem Blue Cross Blue Shield of California policy
MED.00110 Silver-based Products for Wound and Soft Tissue Applications
MED.00110 Silver-based Products for Wound and Soft Tissue Applications is a public Anthem Blue Cross Blue Shield of California policy (policy MED.00110). It lists 1 CPT or HCPCS code, 1 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
- MED.00110
- 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 |
|---|---|---|---|
| A4649 | On the list | Surgical supply, miscellaneous [no specific code for antimicrobial silver wound dressings (e.g., Acticoat, Actisorb, AQUACEL Ag, Promogran Prisma, Silversorb, Urgotul Silver)] or [when specified as supply of a medial knee implanted shock absorber] | Policies naming A4649 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list