Anthem Blue Cross Blue Shield of Colorado policy
CG-MED-68 Therapeutic Apheresis
CG-MED-68 Therapeutic Apheresis is a public Anthem Blue Cross Blue Shield of Colorado policy (policy CG-MED-68). It lists 12 CPT or HCPCS codes, 7 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-68
- 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 |
|---|---|---|---|
| 00029 | Not listed | Policies naming 00029 | |
| 00140 | Not listed | Policies naming 00140 | |
| 00142 | Not listed | Policies naming 00142 | |
| 00146 | Not listed | Policies naming 00146 | |
| 00148 | Not listed | Policies naming 00148 | |
| 0342T | On the list | Therapeutic apheresis with selective HDL delipidation and plasma reinfusion | Policies naming 0342T |
| 36511 | On the list | Therapeutic Apheresis; White Blood Cells | Policies naming 36511 |
| 36512 | On the list | Therapeutic Apheresis; Red Blood Cells | Policies naming 36512 |
| 36513 | On the list | Therapeutic Apheresis; Platelets | Policies naming 36513 |
| 36514 | On the list | Therapeutic Apheresis; Plasma Pheresis | Policies naming 36514 |
| 36516 | On the list | Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion | Policies naming 36516 |
| S2120 | On the list | Low Density Lipoprotein(Ldl) | Policies naming S2120 |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list