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Anthem Blue Cross Blue Shield of Georgia policies, page 10

Search Anthem Blue Cross Blue Shield of Georgia'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.

572 public policies Substrate tracks for Anthem Blue Cross Blue Shield of Georgia, by title.

Anthem Blue Cross Blue Shield of Georgia policies
PolicyDetailsCodesSource
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
PresentationCommercial · CT, GA, NH, VA—Original policy ↗
Preventive Care Services Covered with No Member Cost-shareCommercial · GA—Original policy ↗
Preventive Medicine Services with Screening and other Evaluation and Management Services – ProfessionalC-12002 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI54Original policy ↗
Prolonged Services – ProfessionalC-08011 · Effective Jun 3, 2025 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI12Original policy ↗
Provider Agreement Affiliates ListCommercial, Medicaid · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, WI—Original policy ↗
Provider Digital Engagement SupplementMULTI-BCBS-CRCM-023353-23-CPN21196 · Commercial, Medicaid · CO, CT, GA, MO, NH—Original policy ↗
Provider Preventable Conditions – Professional and FacilityC-23002 · Effective Sep 1, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Provider quick reference guide: self-service toolsABSCARE-0971-21 · Commercial · GA—Original policy ↗
Quantitative Muscle Testing DevicesMED.00089 · Commercial1Original policy ↗
Quantitative Sensory TestingMED.00082 · Commercial6Original policy ↗
Quick Reference Guide 2026 Individual Health Insurance MarketplaceEffective Jan 29, 2026 · Commercial · GA—Original policy ↗
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity CareRAD.00038 · Commercial3Original policy ↗
RAD.00044 Magnetic Resonance NeurographyRAD.00044 · Commercial1Original policy ↗
RAD.00053 Cervical and Thoracic DiscographyRAD.00053 · Commercial2Original policy ↗
RAD.00064 Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed Tomography (SPECT)RAD.00064 · Commercial2Original policy ↗
RAD.00067 Quantitative Ultrasound for Tissue CharacterizationRAD.00067 · Commercial2Original policy ↗
RAD.00068 Myocardial Strain ImagingRAD.00068 · Commercial3Original policy ↗
Remote Devices for Intermittent Monitoring of Intraocular PressureDME.00050 · Commercial1Original policy ↗
Respiratory Viral Panel Testing in the Outpatient SettingCG-LAB-14 · Commercial10Original policy ↗
Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization Management (UM) GuidelineADMIN.00006 · Commercial—Original policy ↗
Robotic Arm Assistive DevicesDME.00044 · Commercial1Original policy ↗
Roster Automation Rules of EngagementMULTI-BCBS-CRCM-26126-23-CPN25245 · Commercial · CO, CT, GA, NH, OH, VA—Original policy ↗
Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal IncontinenceCG-SURG-95 · Commercial19Original policy ↗
Seat Lift MechanismsCG-DME-25 · Commercial5Original policy ↗
Selected Protein Biomarker Algorithmic AssaysLAB.00011 · Commercial9Original policy ↗
Serum Biomarker Tests for Risk of PreeclampsiaLAB.00040 · Commercial8Original policy ↗
SHBP Medical Policies & Clinical Guidelines Precertification Code ListEffective Jan 1, 2022 · Commercial · GA2,220Original policy ↗
SHBP Medicare Advantage Sample ID Cards – 2018GA—Original policy ↗
SHBP Prior Authorization Code ListCommercial · GA1,299Original policy ↗
SHBP Prior Authorization RequirementsCommercial · GA—Original policy ↗
SHBP Prior Authorization RequirementsCommercial · GA2,569Original policy ↗
SHBP Sample ID Cards – 2018Commercial · GA—Original policy ↗
Sleep Studies and Related Bundled Services and Supplies – Professional and FacilityC-09009 · Effective Nov 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI12Original policy ↗
Small Bowel, Small Bowel/Liver and Multivisceral TransplantationTRANS.00013 · Commercial17Original policy ↗
SoloHealth StationCommercial · CT, GA, NH, VA—Original policy ↗
Split-Care Surgical Modifiers - ProfessionalC-23004 · Effective Jun 14, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Standard Local Prior Authorization Code ListCommercial · GA3,068Original policy ↗
Standard Prior Authorization RequirementsCommercial · GA—Original policy ↗
Standby Services- ProfessionalC-09005 · Effective May 5, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI5Original policy ↗
State health benefit plan precertification listEffective Jan 1, 2024 · Commercial · GA—Original policy ↗
Substance Brief Intervention/Referral Tool (SBIRT)Commercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI6Original policy ↗
SURG.00008 Mechanized Spinal Distraction TherapySURG.00008 · Commercial2Original policy ↗
SURG.00011 Products for Wound Healing and Soft Tissue Grafting: InvestigationalSURG.00011 · Commercial377Original policy ↗
SURG.00019 Transmyocardial RevascularizationSURG.00019 · Commercial3Original policy ↗
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast ProceduresSURG.00023 · Commercial30Original policy ↗
SURG.00032 Patent Foramen Ovale and Left Atrial Appendage Closure DevicesSURG.00032 · Commercial1Original policy ↗
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and TendonsSURG.00043 · Commercial2Original policy ↗
SURG.00044 Breast Ductal Examination and Fluid Cytology AnalysisSURG.00044 · Commercial1Original policy ↗
SURG.00045 Extracorporeal Shock Wave Therapy SURG.00045 · Commercial6Original policy ↗

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

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