Anthem Blue Cross Blue Shield of Colorado policy
CG-SURG-125 Canaloplasty
CG-SURG-125 Canaloplasty is a public Anthem Blue Cross Blue Shield of Colorado policy (policy CG-SURG-125). It lists 2 CPT or HCPCS codes, 2 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-SURG-125
- 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 |
|---|---|---|---|
| 66174 | On the list | Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent | Policies naming 66174 |
| 66175 | On the list | Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent | Policies naming 66175 |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list