Anthem Blue Cross and Blue Shield Virginia policy
SURG.00135 Renal Sympathetic Nerve Ablation
SURG.00135 Renal Sympathetic Nerve Ablation is a public Anthem Blue Cross and Blue Shield Virginia policy (policy SURG.00135). It lists 5 CPT or HCPCS codes, 5 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.00135
- 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 |
|---|---|---|---|
| 0338T | On the list | Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast inject | Policies naming 0338T |
| 0339T | On the list | Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast inject | Policies naming 0339T |
| 0935T | On the list | Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of u | Policies naming 0935T |
| C1735 | On the list | Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components | Policies naming C1735 |
| C1736 | On the list | Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components | Policies naming C1736 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list