Anthem Blue Cross and Blue Shield New Hampshire policy

Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in NH

Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in NH is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy NH-BCBS-CM-019298-26-S5051). It lists 66 CPT or HCPCS codes, 0 of them on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

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Payer
Anthem Blue Cross and Blue Shield New Hampshire
Policy number
NH-BCBS-CM-019298-26-S5051
Line of business
Commercial
States
NH
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 New Hampshire prior authorization list.

CodePrior authorizationDescription on the prior authorization listOther Anthem Blue Cross and Blue Shield New Hampshire policies
00001Not listedPolicies naming 00001
00003Not listedPolicies naming 00003
00004Not listedPolicies naming 00004
00005Not listedPolicies naming 00005
00006Not listedPolicies naming 00006
00007Not listedPolicies naming 00007
00009Not listedPolicies naming 00009
00010Not listedPolicies naming 00010
00011Not listedPolicies naming 00011
00012Not listedPolicies naming 00012
00013Not listedPolicies naming 00013
00014Not listedPolicies naming 00014
00017Not listedPolicies naming 00017
00019Not listedPolicies naming 00019
00020Not listedPolicies naming 00020
00021Not listedPolicies naming 00021
00023Not listedPolicies naming 00023
00024Not listedPolicies naming 00024
00025Not listedPolicies naming 00025
00027Not listedPolicies naming 00027
00028Not listedPolicies naming 00028
00029Not listedPolicies naming 00029
00030Not listedPolicies naming 00030
00031Not listedPolicies naming 00031
00032Not listedPolicies naming 00032
00033Not listedPolicies naming 00033
00035Not listedPolicies naming 00035
00036Not listedPolicies naming 00036
00037Not listedPolicies naming 00037
00038Not listedPolicies naming 00038
00039Not listedPolicies naming 00039
00040Not listedPolicies naming 00040
00042Not listedPolicies naming 00042
00043Not listedPolicies naming 00043
00044Not listedPolicies naming 00044
00045Not listedPolicies naming 00045
00047Not listedPolicies naming 00047
00048Not listedPolicies naming 00048
00049Not listedPolicies naming 00049
00051Not listedPolicies naming 00051
00052Not listedPolicies naming 00052
00054Not listedPolicies naming 00054
00064Not listedPolicies naming 00064
00068Not listedPolicies naming 00068
00074Not listedPolicies naming 00074
00076Not listedPolicies naming 00076
00079Not listedPolicies naming 00079
00080Not listedPolicies naming 00080
00085Not listedPolicies naming 00085
00086Not listedPolicies naming 00086
00090Not listedPolicies naming 00090
00095Not listedPolicies naming 00095
00100Not listedPolicies naming 00100
00103Not listedPolicies naming 00103
00106Not listedPolicies naming 00106
00107Not listedPolicies naming 00107
00108Not listedPolicies naming 00108
00109Not listedPolicies naming 00109
00110Not listedPolicies naming 00110
00113Not listedPolicies naming 00113
00115Not listedPolicies naming 00115
00117Not listedPolicies naming 00117
00122Not listedPolicies naming 00122
00132Not listedPolicies naming 00132
00136Not listedPolicies naming 00136
S5051Not listedPolicies naming S5051

All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire 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.