Anthem Blue Cross and Blue Shield Virginia policy
Modifiers 25 and 57: Evaluation and Management Services with Global Procedures - Professional
Modifiers 25 and 57: Evaluation and Management Services with Global Procedures - Professional is a public Anthem Blue Cross and Blue Shield Virginia policy (policy C- 09011, effective Mar 1, 2025). It lists 8 CPT or HCPCS codes, 0 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- C- 09011
- 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 |
|---|---|---|---|
| 99211 | Not listed | Policies naming 99211 | |
| 99381 | Not listed | Policies naming 99381 | |
| 99397 | Not listed | Policies naming 99397 | |
| G0101 | Not listed | Policies naming G0101 | |
| G0102 | Not listed | Policies naming G0102 | |
| G0402 | Not listed | Policies naming G0402 | |
| G0438 | Not listed | Policies naming G0438 | |
| G0439 | Not listed | Policies naming G0439 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list