Anthem Blue Cross and Blue Shield Virginia policy
Pancreas Transplantation and Pancreas Kidney Transplantation
Pancreas Transplantation and Pancreas Kidney Transplantation is a public Anthem Blue Cross and Blue Shield Virginia policy (policy TRANS.00011). It lists 17 CPT or HCPCS codes, 17 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
- TRANS.00011
- 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 |
|---|---|---|---|
| 48550 | On the list | Donor Pancreatectomy, W/Prep & Maintenance, Cadaver Donor, W/Wo Duodenal Segment | Policies naming 48550 |
| 48551 | On the list | Backbench Standard Preparation Of Cadaver Donor Pancreas Allograft | Policies naming 48551 |
| 48552 | On the list | Backbench Reconstruction Of Cadaver Donor Pancreas Allograft Prior To Transplantation, Venous Anastomosis, Each | Policies naming 48552 |
| 48554 | On the list | Transplantation, Pancreatic Allograft | Policies naming 48554 |
| 48556 | On the list | Removal, Transplanted Pancreatic Allograft | Policies naming 48556 |
| 50300 | On the list | Donor Nephrectomy; Cadaver Donor, Unilat/Bilat W/Prep & Maintenance, Allograft | Policies naming 50300 |
| 50320 | On the list | Donor Nephrectomy, Open, Living Donor W/O Allograft Preparation & Maintenance | Policies naming 50320 |
| 50323 | On the list | Backbench Standard Preparation Of Cadaver Donor Renal Allograft | Policies naming 50323 |
| 50325 | On the list | Backbench Standard Preparation Of Living Donor Renal Allograft (Open Or Laparoscopic) | Policies naming 50325 |
| 50327 | On the list | Backbench Reconstruction Of Cadaver Or Living Donor Renal Allograft Prior To Transplantation; Venous Anastomosis, Each | Policies naming 50327 |
| 50328 | On the list | Backbench Reconstruction Of Cadaver Or Living Donor Renal Allograft Prior To Transplantation; Arterial Anastomosis, Each | Policies naming 50328 |
| 50329 | On the list | Backbench Reconstruction Of Cadaver Or Living Donor Renal Allograft Prior To Transplantation; Ureteral Anastomosis, Each | Policies naming 50329 |
| 50340 | On the list | Recipient Nephrectomy (Sep Proc) | Policies naming 50340 |
| 50360 | On the list | Renal Allotransplantation, Implantation, Graft; W/O Donor & Recipient Nephrectomy | Policies naming 50360 |
| 50365 | On the list | Renal Allotransplantation, Implantation, Graft; W/Recipient Nephrectomy | Policies naming 50365 |
| 50547 | On the list | Laparoscopy, Surgical; Donor Nephrectomy, Living Donor W/O Allograft Prep & Maintenance | Policies naming 50547 |
| S2065 | On the list | Simultaneous pancreas kidney transplantation | Policies naming S2065 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list