Anthem Blue Cross Blue Shield of Georgia policy
LAB.00024 Immune Cell Function Assay
LAB.00024 Immune Cell Function Assay is a public Anthem Blue Cross Blue Shield of Georgia policy (policy LAB.00024). 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
- LAB.00024
- 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 |
|---|---|---|---|
| 0018M | Not listed | Policies naming 0018M | |
| 81560 | On the list | Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score | Policies naming 81560 |
| 81599 | Not listed | Policies naming 81599 | |
| 86352 | On the list | Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) | Policies naming 86352 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list