Anthem Blue Cross and Blue Shield Virginia policy
Drug Screen Testing – Professional
Drug Screen Testing – Professional is a public Anthem Blue Cross and Blue Shield Virginia policy (policy C-12004, effective Mar 1, 2025). It lists 17 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- C-12004
- Effective
- Mar 1, 2025
- Line of business
- Commercial
- States
- VA
- 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 |
|---|---|---|---|
| 80150 | On the list | Assay Of Amikacin | Policies naming 80150 |
| 80300 | Not listed | Policies naming 80300 | |
| 80304 | Not listed | Policies naming 80304 | |
| 80305 | Not listed | Policies naming 80305 | |
| 80307 | Not listed | Policies naming 80307 | |
| 80320 | Not listed | Policies naming 80320 | |
| 80377 | Not listed | Policies naming 80377 | |
| 83992 | On the list | Phencyclidine (Pcp) | Policies naming 83992 |
| G0431 | Not listed | Policies naming G0431 | |
| G0434 | Not listed | Policies naming G0434 | |
| G0477 | Not listed | Policies naming G0477 | |
| G0479 | Not listed | Policies naming G0479 | |
| G0480 | Not listed | Policies naming G0480 | |
| G0483 | Not listed | Policies naming G0483 | |
| G0659 | Not listed | Policies naming G0659 | |
| G6030 | Not listed | Policies naming G6030 | |
| G6058 | Not listed | Policies naming G6058 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list