Anthem Blue Cross and Blue Shield Virginia policy
LAB.00046 Testing for Biochemical Markers for Alzheimer’s Disease
LAB.00046 Testing for Biochemical Markers for Alzheimer’s Disease is a public Anthem Blue Cross and Blue Shield Virginia policy (policy LAB.00046). It lists 19 CPT or HCPCS codes, 9 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
- LAB.00046
- 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 |
|---|---|---|---|
| 0206U | Not listed | Policies naming 0206U | |
| 0207U | Not listed | Policies naming 0207U | |
| 0358U | On the list | Neurology (mild cognitive impairment), analysis of B-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive | Policies naming 0358U |
| 0412U | On the list | Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform- specific prot | Policies naming 0412U |
| 0445U | Not listed | Policies naming 0445U | |
| 0459U | Not listed | Policies naming 0459U | |
| 0479U | Not listed | Policies naming 0479U | |
| 0503U | On the list | Neurology (Alzheimer disease), beta amyloid (AB40, AB42, AB42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantita | Policies naming 0503U |
| 0547U | Not listed | Policies naming 0547U | |
| 0568U | Not listed | Policies naming 0568U | |
| 0596U | Not listed | Policies naming 0596U | |
| 81599 | Not listed | Policies naming 81599 | |
| 82233 | On the list | Beta-amyloid; 1-40 | Policies naming 82233 |
| 82234 | On the list | Beta-amyloid; 1-42 | Policies naming 82234 |
| 83520 | On the list | Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise sp | Policies naming 83520 |
| 83884 | On the list | Neurofilament light chain | Policies naming 83884 |
| 84393 | On the list | Tau, phosphorylated | Policies naming 84393 |
| 84394 | On the list | Tau, total | Policies naming 84394 |
| 84999 | Not listed | Policies naming 84999 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list