Anthem Blue Cross Blue Shield of Colorado policy
CG-MED-102 Dichoptic Digital Therapy for Amblyopia
CG-MED-102 Dichoptic Digital Therapy for Amblyopia is a public Anthem Blue Cross Blue Shield of Colorado policy (policy CG-MED-102). It lists 6 CPT or HCPCS codes, 0 of them on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-MED-102
- 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 Colorado prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Colorado policies |
|---|---|---|---|
| 0687T | Not listed | Policies naming 0687T | |
| 0688T | Not listed | Policies naming 0688T | |
| 0704T | Not listed | Policies naming 0704T | |
| 0705T | Not listed | Policies naming 0705T | |
| 0706T | Not listed | Policies naming 0706T | |
| A9292 | Not listed | Policies naming A9292 |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list