Anthem Blue Cross Blue Shield of California policy

Observation Services - Facility

Observation Services - Facility is a public Anthem Blue Cross Blue Shield of California policy (policy C-11005, effective Oct 1, 2026). It lists 14 CPT or HCPCS codes, 0 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
C-11005
Effective
Oct 1, 2026
Line of business
Commercial
States
CA
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
99281Not listedPolicies naming 99281
99282Not listedPolicies naming 99282
99283Not listedPolicies naming 99283
99284Not listedPolicies naming 99284
99285Not listedPolicies naming 99285
99291Not listedPolicies naming 99291
G0378Not listedPolicies naming G0378
G0379Not listedPolicies naming G0379
G0380Not listedPolicies naming G0380
G0381Not listedPolicies naming G0381
G0382Not listedPolicies naming G0382
G0383Not listedPolicies naming G0383
G0384Not listedPolicies naming G0384
G0463Not listedPolicies naming G0463

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

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.