Anthem Blue Cross and Blue Shield Virginia policy
CG-MED-71 Chronic Wound Care in the Home or Outpatient Setting
CG-MED-71 Chronic Wound Care in the Home or Outpatient Setting is a public Anthem Blue Cross and Blue Shield Virginia policy (policy CG-MED-71). It lists 8 CPT or HCPCS codes, 8 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- CG-MED-71
- 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 Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 99600 | On the list | Unlisted Home Visit Service/Procedure | Policies naming 99600 |
| G0299 | On the list | Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes | Policies naming G0299 |
| G0300 | On the list | Direct skilled nursing services of a license practical nurse (LPN) in the home health or hospice setting, each 15 minutes | Policies naming G0300 |
| S9097 | On the list | Home Visit For Wound Care | Policies naming S9097 |
| S9123 | On the list | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT cod | Policies naming S9123 |
| S9124 | On the list | Nursing care, in the home; by licensed practical nurse, per hour | Policies naming S9124 |
| T1030 | On the list | Nursing Care, In The Home, By Registered Nurse, Per Diem | Policies naming T1030 |
| T1031 | On the list | Nursing Care, In The Home, By Licensed Practical Nurse, Per Diem | Policies naming T1031 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list