Anthem Blue Cross and Blue Shield Nevada policies, page 9

Search Anthem Blue Cross and Blue Shield Nevada'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.

601 public policies Substrate tracks for Anthem Blue Cross and Blue Shield Nevada, by title.

Anthem Blue Cross and Blue Shield Nevada policies
PolicyDetailsCodesSource
Medicare Advantage 2018 Precertification RequirementsEffective Jan 1, 2018 · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI158Original policy ↗
Medicare Advantage Precertification Requirements – 2019CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI191Original policy ↗
Medicare Advantage Provider ManualMULTI-BCBS-CR-PM-008700-26-GRP2620 · Effective Apr 1, 2026 · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, WI—Original policy ↗
Moderate (Conscious) Sedation – Professional and FacilityC-25001 · Effective Oct 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Modifier 22G-07020 · Effective Sep 6, 2024 · Medicaid · NV—Original policy ↗
Modifier 22 – ProfessionalC-12003 · Effective May 6, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier 24G-06011 · Effective Jun 11, 2025 · Medicaid · NV—Original policy ↗
Modifier 50 and 51: Multiple and Bilateral SurgeryG-06010 · Effective Dec 18, 2025 · Medicaid · NV—Original policy ↗
Modifier 62G-06027 · Effective Mar 26, 2026 · Medicaid · NV—Original policy ↗
Modifier 62 – ProfessionalC-21005 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI—Original policy ↗
Modifier 63G-06015 · Effective Aug 28, 2020 · Medicaid · NV—Original policy ↗
Modifier 66G-06039 · Effective Aug 7, 2020 · Medicaid · NV—Original policy ↗
Modifier 66 – ProfessionalC-21006 · Effective Nov 17, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier 76G-06018 · Effective Jan 26, 2026 · Medicaid · NV—Original policy ↗
Modifier 77G-06019 · Effective Jan 26, 2026 · Medicaid · NV—Original policy ↗
Modifier 78G-13001 · Effective Sep 11, 2025 · Medicaid · NV—Original policy ↗
Modifier FB – Professional and FacilityC-22003 · Effective Oct 1, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier UsageG-06006 · Effective Jan 16, 2024 · Medicaid · NV—Original policy ↗
Modifier Usage - FacilityC-23005 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifier Usage – ProfessionalC-08010 · Effective Jun 3, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI12Original policy ↗
Modifiers 25 and 57: Evaluation and Management with Global ProceduresC-09011 · Effective Nov 23, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI8Original policy ↗
Modifiers 25 and 57: Evaluation and Management with Global ProceduresG-06003 · Effective May 22, 2024 · Medicaid · NV1Original policy ↗
Modifiers 26 and TCG-15004 · Effective May 20, 2024 · Medicaid · NV—Original policy ↗
Modifiers 26 and TC: Professional and Technical Component - ProfessionalC-20004 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Modifiers 50 and 51: Multiple and Bilateral Surgery - ProfessionalC-08004 · Effective Oct 30, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI63Original policy ↗
Modifiers 52, 53, 73, and 74: Reduced and Discontinued ServicesG-10033 · Effective Dec 14, 2023 · Medicaid · NV—Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI187Original policy ↗
Modifiers 59, XE, XP, XS, XU: Distinct Procedural ServicesG-15001 · Effective Apr 12, 2022 · Medicaid · NV—Original policy ↗
Modifiers 80, 81, 82 and AS: Assistant at Surgery - ProfessionalC-08006 · Effective Sep 27, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI44Original policy ↗
Modifiers 80, 81, 82, and AS: Assistant at SurgeryG-06005 · Effective Dec 19, 2023 · Medicaid · NV—Original policy ↗
Modifiers 90 and 91: Laboratory ServicesG-20001 · Effective Dec 1, 2026 · Medicaid · NV—Original policy ↗
Modifiers 90, 91, and 92: Laboratory Services – Professional and FacilityC-26002 · Effective Nov 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Modifiers LT and RT: Left-Side and Right-Side ProceduresG-07022 · Effective Jul 21, 2025 · Medicaid · NV—Original policy ↗
Modifiers PN and PO: Off-Campus Provider-Based Hospital OutpatientG-26002 · Effective Jan 1, 2027 · Medicaid · NV5Original policy ↗
Molecular Signature Test for Predicting Response to Tumor Necrosis Factor Inhibitor TherapyLAB.00042 · Commercial1Original policy ↗
MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic IndicationsMED.00057 · Commercial6Original policy ↗
Multiple Delivery ServicesG-06044 · Effective Apr 29, 2022 · Medicaid · NV—Original policy ↗
Multiple Delivery Services – ProfessionalC-19005 · Effective Apr 29, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Multiple Diagnostic Imaging Procedures – Professional and FacilityC-25003 · Effective Oct 26, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Multiple Procedure Payment Reduction – ProfessionalC-23003 · Effective Apr 12, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI—Original policy ↗
Multiple Radiology Payment ReductionG-12002 · Effective Aug 15, 2022 · Medicaid · NV—Original policy ↗
Multiple Surgery – FacilityC-21004 · Effective Jan 1, 2022 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH—Original policy ↗
Multiplex Autoantigen Microarray Testing for Systemic Lupus ErythematosusLAB.00036 · Commercial2Original policy ↗
National Provider Identifier (NPI) FAQsCommercial · NV—Original policy ↗
Near-Infrared Coronary Imaging and Near-Infrared Intravascular Ultrasound Coronary ImagingRAD.00057 · Commercial1Original policy ↗
Networks OverviewCommercial · NV—Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Jan 1, 2026 · Commercial · NV80Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Oct 1, 2026 · Commercial · NV80Original policy ↗
Non-invasive Cardiac Management and Monitoring SystemsMED.00134 · Commercial5Original policy ↗
Non-Patient Laboratory Services- FacilityC-21001 · Effective Aug 18, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NV, OH—Original policy ↗

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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.