Anthem Blue Cross Blue Shield of Colorado policy
TRANS.00037 Uterine Transplantation
TRANS.00037 Uterine Transplantation is a public Anthem Blue Cross Blue Shield of Colorado policy (policy TRANS.00037). It lists 7 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
- TRANS.00037
- 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 |
|---|---|---|---|
| 0664T | On the list | Donor hysterectomy (including cold preservation); open, from cadaver d | Policies naming 0664T |
| 0665T | On the list | Donor hysterectomy (including cold preservation); open, from living do | Policies naming 0665T |
| 0666T | On the list | Donor hysterectomy (including cold preservation); laparoscopic or robo | Policies naming 0666T |
| 0667T | On the list | Donor hysterectomy (including cold preservation); recipient uterus all | Policies naming 0667T |
| 0668T | On the list | Backbench standard preparation of cadaver or living donor uterine allo | Policies naming 0668T |
| 0669T | On the list | Backbench reconstruction of cadaver or living donor uterus allograft p | Policies naming 0669T |
| 0670T | On the list | Backbench reconstruction of cadaver or living donor uterus allograft p | Policies naming 0670T |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list