Anthem Blue Cross and Blue Shield Virginia policy
SURG.00104 Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis
SURG.00104 Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis is a public Anthem Blue Cross and Blue Shield Virginia policy (policy SURG.00104). It lists 6 CPT or HCPCS codes, 4 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
- SURG.00104
- 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 |
|---|---|---|---|
| 0335T | On the list | Insertion of sinus tarsi implant | Policies naming 0335T |
| 0510T | On the list | Removal of sinus tarsi implant | Policies naming 0510T |
| 0511T | On the list | Removal and reinsertion of sinus tarsi implant | Policies naming 0511T |
| 28585 | Not listed | Policies naming 28585 | |
| 28899 | Not listed | Policies naming 28899 | |
| S2117 | On the list | Arthroereisis, subtalar | Policies naming S2117 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list