Anthem Blue Cross and Blue Shield New Hampshire policy
TRANS.00033 Heart Transplantation
TRANS.00033 Heart Transplantation is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy TRANS.00033). It lists 5 CPT or HCPCS codes, 4 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.
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- Policy number
- TRANS.00033
- 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 New Hampshire prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield New Hampshire policies |
|---|---|---|---|
| 00580 | On the list | Anesthesia for heart transplant or heart/lung transplant | Policies naming 00580 |
| 33929 | Not listed | Policies naming 33929 | |
| 33940 | On the list | Donor cardiectomy (including cold preservation) | Policies naming 33940 |
| 33944 | On the list | Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, pulmonary artery, and left atrium for implantation | Policies naming 33944 |
| 33945 | On the list | Heart transplant, with or without recipient cardiectomy | Policies naming 33945 |
All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire prior authorization CPT list