Anthem Blue Cross and Blue Shield Nevada policy
CG-SURG-91 Minimally Invasive Ablative Procedures for Epilepsy
CG-SURG-91 Minimally Invasive Ablative Procedures for Epilepsy is a public Anthem Blue Cross and Blue Shield Nevada policy (policy CG-SURG-91). It lists 4 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-SURG-91
- 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 and Blue Shield Nevada prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Nevada policies |
|---|---|---|---|
| 61735 | Not listed | Policies naming 61735 | |
| 61736 | On the list | Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 si | Policies naming 61736 |
| 61737 | On the list | Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for | Policies naming 61737 |
| 64999 | Not listed | Policies naming 64999 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list