Anthem Blue Cross Blue Shield of Georgia policy
CG-SURG-100 Laser Trabeculoplasty and Laser Peripheral Iridotomy
CG-SURG-100 Laser Trabeculoplasty and Laser Peripheral Iridotomy is a public Anthem Blue Cross Blue Shield of Georgia policy (policy CG-SURG-100). It lists 4 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-SURG-100
- 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 Georgia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Georgia policies |
|---|---|---|---|
| 0621T | Not listed | Policies naming 0621T | |
| 0622T | Not listed | Policies naming 0622T | |
| 65855 | On the list | Trabeculoplasty by laser surgery, 1 or more sessions (defined treatment series) | Policies naming 65855 |
| 66761 | On the list | Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) | Policies naming 66761 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list