Anthem Blue Cross Blue Shield of Colorado policies, page 5

Search Anthem Blue Cross Blue Shield of Colorado's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

550 public policies Substrate tracks for Anthem Blue Cross Blue Shield of Colorado, by title.

Anthem Blue Cross Blue Shield of Colorado policies
PolicyDetailsCodesSource
CG-SURG-115 Mechanical Embolectomy for Treatment of StrokeCG-SURG-115 · Commercial1Original policy ↗
CG-SURG-116 Surgical Treatment of HyperhidrosisCG-SURG-116 · Commercial9Original policy ↗
CG-SURG-117 Balloon Dilation of the Eustachian TubesCG-SURG-117 · Commercial2Original policy ↗
CG-SURG-118 Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir)CG-SURG-118 · Commercial8Original policy ↗
CG-SURG-12 Penile Prosthesis ImplantationCG-SURG-12 · Commercial10Original policy ↗
CG-SURG-120 Vagus Nerve StimulationCG-SURG-120 · Commercial21Original policy ↗
CG-SURG-121 Fetal Surgery for Prenatally Diagnosed MalformationsCG-SURG-121 · Commercial9Original policy ↗
CG-SURG-122 Lingual Frenotomy for Ankyloglossia-Related Feeding DifficultiesCG-SURG-122 · Commercial1Original policy ↗
CG-SURG-123 Autologous Fat Grafting and Injectable Soft Tissue FillersCG-SURG-123 · Commercial17Original policy ↗
CG-SURG-124 ViscocanalostomyCG-SURG-124 · Commercial1Original policy ↗
CG-SURG-125 CanaloplastyCG-SURG-125 · Commercial2Original policy ↗
CG-SURG-126 Tibial Nerve StimulationCG-SURG-126 · Commercial12Original policy ↗
CG-SURG-127 Products for Wound Healing and Soft Tissue Grafting: Medically Necessary UsesCG-SURG-127 · Commercial77Original policy ↗
CG-SURG-15 Endometrial AblationCG-SURG-15 · Commercial3Original policy ↗
CG-SURG-17 Trigger Point InjectionsCG-SURG-17 · Commercial2Original policy ↗
CG-SURG-18 SeptoplastyCG-SURG-18 · Commercial2Original policy ↗
CG-SURG-24 Functional Endoscopic Sinus Surgery (FESS)CG-SURG-24 · Commercial12Original policy ↗
CG-SURG-25 Injection Treatment for Morton’s NeuromaCG-SURG-25 · Commercial2Original policy ↗
CG-SURG-29 Lumbar DiscographyCG-SURG-29 · Commercial2Original policy ↗
CG-SURG-30 Tonsillectomy for Children with or without AdenoidectomyCG-SURG-30 · Commercial4Original policy ↗
CG-SURG-31 Treatment of Keloids and Scar RevisionCG-SURG-31 · Commercial67Original policy ↗
CG-SURG-34 Diagnostic Hysteroscopy for InfertilityCG-SURG-34 · Commercial1Original policy ↗
CG-SURG-35 Intracytoplasmic Sperm Injection (ICSI)CG-SURG-35 · Commercial2Original policy ↗
CG-SURG-36 AdenoidectomyCG-SURG-36 · Commercial4Original policy ↗
CG-SURG-40 Cataract Removal Surgery for AdultsCG-SURG-40 · Commercial18Original policy ↗
CG-SURG-41 Surgical Strabismus CorrectionCG-SURG-41 · Commercial11Original policy ↗
CG-SURG-46 Myringotomy and Tympanostomy Tube InsertionCG-SURG-46 · Commercial6Original policy ↗
CG-SURG-50 Assistant SurgeonsCG-SURG-50 · Commercial—Original policy ↗
CG-SURG-51 Outpatient CystourethroscopyCG-SURG-51 · Commercial18Original policy ↗
CG-SURG-56 Diagnostic Fiberoptic Flexible LaryngoscopyCG-SURG-56 · Commercial1Original policy ↗
CG-SURG-57 Diagnostic Nasal EndoscopyCG-SURG-57 · Commercial1Original policy ↗
CG-SURG-58 Radioactive Seed Localization of Nonpalpable Breast LesionsCG-SURG-58 · Commercial8Original policy ↗
CG-SURG-70 Gastric Electrical StimulationCG-SURG-70 · Commercial16Original policy ↗
CG-SURG-71 Reduction MammaplastyCG-SURG-71 · Commercial2Original policy ↗
CG-SURG-72 Endothelial KeratoplastyCG-SURG-72 · Commercial2Original policy ↗
CG-SURG-73 Balloon Sinus Ostial DilationCG-SURG-73 · Commercial5Original policy ↗
CG-SURG-75 Transanal Endoscopic Microsurgical (TEM) Excision of Rectal LesionsCG-SURG-75 · Commercial1Original policy ↗
CG-SURG-76 Carotid, Vertebral and Intracranial Artery Stent Placement with or without AngioplastyCG-SURG-76 · Commercial11Original policy ↗
CG-SURG-77 Refractive SurgeryCG-SURG-77 · Commercial29Original policy ↗
CG-SURG-78 Locoregional Techniques for Treating Primary and Metastatic Liver MalignanciesCG-SURG-78 · Commercial7Original policy ↗
CG-SURG-79 Implantable Infusion PumpsCG-SURG-79 · Commercial18Original policy ↗
CG-SURG-81 Cochlear Implants and Auditory Brainstem ImplantsCG-SURG-81 · Commercial8Original policy ↗
CG-SURG-82 Bone-Anchored and Bone Conduction Hearing AidsCG-SURG-82 · Commercial13Original policy ↗
CG-SURG-83 Bariatric Surgery and Other Treatments for Clinically Severe ObesityCG-SURG-83 · Commercial27Original policy ↗
CG-SURG-84 Mandibular/Maxillary (Orthognathic) SurgeryCG-SURG-84 · Commercial45Original policy ↗
CG-SURG-88 Mastectomy for GynecomastiaCG-SURG-88 · Commercial2Original policy ↗
CG-SURG-89 Radiofrequency Neurolysis and Pulsed Radiofrequency Therapy for Trigeminal NeuralgiaCG-SURG-89 · Commercial6Original policy ↗
CG-SURG-90 Mohs Micrographic SurgeryCG-SURG-90 · Commercial5Original policy ↗
CG-SURG-91 Minimally Invasive Ablative Procedures for EpilepsyCG-SURG-91 · Commercial4Original policy ↗
CG-SURG-92 Paraesophageal Hernia RepairCG-SURG-92 · Commercial8Original policy ↗

Back to Anthem Blue Cross Blue Shield of Colorado · Anthem Blue Cross Blue Shield of Colorado 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.