Anthem Blue Cross Blue Shield of California policy
MED.00111 Intracardiac Ischemia Monitoring
MED.00111 Intracardiac Ischemia Monitoring is a public Anthem Blue Cross Blue Shield of California policy (policy MED.00111). It lists 9 CPT or HCPCS codes, 9 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.00111
- 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 |
|---|---|---|---|
| 0525T | On the list | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system (electrode and implantable monitor) | Policies naming 0525T |
| 0526T | On the list | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; electrode only | Policies naming 0526T |
| 0527T | On the list | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; implantable monitor only | Policies naming 0527T |
| 0528T | On the list | Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report | Policies naming 0528T |
| 0529T | On the list | Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report | Policies naming 0529T |
| 0530T | On the list | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor) | Policies naming 0530T |
| 0531T | On the list | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only | Policies naming 0531T |
| 0532T | On the list | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; implantable monitor only | Policies naming 0532T |
| C1833 | On the list | Monitor, cardiac, including intracardiac lead and all system components (implantable) | Policies naming C1833 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list