Anthem Blue Cross Blue Shield of Georgia policy
SURG.00140 Peripheral Nerve Blocks for Treatment of Neuropathic Pain
SURG.00140 Peripheral Nerve Blocks for Treatment of Neuropathic Pain is a public Anthem Blue Cross Blue Shield of Georgia policy (policy SURG.00140). It lists 6 CPT or HCPCS codes, 6 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
- SURG.00140
- 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 |
|---|---|---|---|
| 64415 | On the list | Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed | Policies naming 64415 |
| 64417 | On the list | Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed | Policies naming 64417 |
| 64447 | On the list | Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed | Policies naming 64447 |
| 64450 | On the list | Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch | Policies naming 64450 |
| 64510 | On the list | Injection, anesthetic agent; stellate ganglion (cervical sympathetic) | Policies naming 64510 |
| 64520 | On the list | Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) | Policies naming 64520 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list