Anthem Blue Cross and Blue Shield Nevada policy
SURG.00131 Lower Esophageal Sphincter Augmentation Devices
SURG.00131 Lower Esophageal Sphincter Augmentation Devices is a public Anthem Blue Cross and Blue Shield Nevada policy (policy SURG.00131). It lists 2 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
- SURG.00131
- 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 |
|---|---|---|---|
| 43284 | On the list | Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (i.e., magnetic band), including cruroplasty when performed. | Policies naming 43284 |
| 43285 | On the list | Removal of esophageal sphincter augmentation device | Policies naming 43285 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list