Anthem Blue Cross and Blue Shield Virginia policies, page 10

Search Anthem Blue Cross and Blue Shield Virginia's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

555 public policies Substrate tracks for Anthem Blue Cross and Blue Shield Virginia, by title.

Anthem Blue Cross and Blue Shield Virginia policies
PolicyDetailsCodesSource
Sleep Studies and Related Bundled Services and Supplies – ProfessionalC-09009 · Effective Mar 1, 2023 · Commercial · VA12Original policy ↗
Small Bowel, Small Bowel/Liver and Multivisceral TransplantationTRANS.00013 · Commercial17Original policy ↗
SoloHealth StationCommercial · CT, GA, NH, VA—Original policy ↗
Split Care Surgical Modifiers- ProfessionalC-23004 · Effective Dec 1, 2023 · Commercial · VA—Original policy ↗
Standard precertification and prior authorization requirementsVABCBS-CM-067675-24 · Commercial · VA—Original policy ↗
Standby Services – ProfessionalC-09005 · Effective May 4, 2009 · Commercial · VA5Original policy ↗
Substance Brief Intervention/Referral Tool (SBIRT)Commercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI6Original policy ↗
SURG.00008 Mechanized Spinal Distraction TherapySURG.00008 · Commercial2Original policy ↗
SURG.00011 Products for Wound Healing and Soft Tissue Grafting: InvestigationalSURG.00011 · Commercial377Original policy ↗
SURG.00019 Transmyocardial RevascularizationSURG.00019 · Commercial3Original policy ↗
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast ProceduresSURG.00023 · Commercial30Original policy ↗
SURG.00032 Patent Foramen Ovale and Left Atrial Appendage Closure DevicesSURG.00032 · Commercial1Original policy ↗
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and TendonsSURG.00043 · Commercial2Original policy ↗
SURG.00044 Breast Ductal Examination and Fluid Cytology AnalysisSURG.00044 · Commercial1Original policy ↗
SURG.00045 Extracorporeal Shock Wave Therapy SURG.00045 · Commercial6Original policy ↗
SURG.00052 Percutaneous Vertebral Disc ProceduresSURG.00052 · Commercial3Original policy ↗
SURG.00056 Transanal Radiofrequency Treatment of Fecal IncontinenceSURG.00056 · Commercial1Original policy ↗
SURG.00072 Lysis of Epidural AdhesionsSURG.00072 · Commercial4Original policy ↗
SURG.00073 EpiduroscopySURG.00073 · Commercial1Original policy ↗
SURG.00079 Nasal Valve RepairSURG.00079 · Commercial3Original policy ↗
SURG.00084 Implantable Middle Ear Hearing AidsSURG.00084 · Commercial8Original policy ↗
SURG.00089 Self-Expanding Absorptive Sinus Ostial DilationSURG.00089 · Commercial1Original policy ↗
SURG.00096 Surgical and Ablative Treatments for Chronic HeadachesSURG.00096 · Commercial18Original policy ↗
SURG.00099 Convection-Enhanced Delivery of Therapeutic Agents to the BrainSURG.00099 · Commercial1Original policy ↗
SURG.00102 Artificial Anal Sphincter for the Treatment of Severe Fecal IncontinenceSURG.00102 · Commercial1Original policy ↗
SURG.00104 Extraosseous Subtalar Joint Implantation and Subtalar ArthroereisisSURG.00104 · Commercial6Original policy ↗
SURG.00111 Axial Lumbar Interbody FusionSURG.00111 · Commercial2Original policy ↗
SURG.00112 Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures)SURG.00112 · Commercial18Original policy ↗
SURG.00113 Artificial Retinal DevicesSURG.00113 · Commercial4Original policy ↗
SURG.00118 Bronchial ThermoplastySURG.00118 · Commercial2Original policy ↗
SURG.00123 Transmyocardial/Perventricular Device Closure of Ventricular Septal DefectsSURG.00123 · Commercial1Original policy ↗
SURG.00124 Carotid Sinus Baroreceptor Stimulation DevicesSURG.00124 · Commercial9Original policy ↗
SURG.00125 Radiofrequency and Pulsed Radiofrequency Treatment of Trigger Point PainSURG.00125 · Commercial1Original policy ↗
SURG.00126 Irreversible Electroporation SURG.00126 · Commercial4Original policy ↗
SURG.00131 Lower Esophageal Sphincter Augmentation DevicesSURG.00131 · Commercial2Original policy ↗
SURG.00132 Drug-Eluting Devices for Maintaining Sinus Ostial PatencySURG.00132 · Commercial3Original policy ↗
SURG.00135 Renal Sympathetic Nerve Ablation SURG.00135 · Commercial5Original policy ↗
SURG.00138 Laser Treatment for OnychomycosisSURG.00138 · Commercial2Original policy ↗
SURG.00139 Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery with Radiofrequency Spectroscopy or Optical Coherence TomographySURG.00139 · Commercial5Original policy ↗
SURG.00140 Peripheral Nerve Blocks for Treatment of Neuropathic PainSURG.00140 · Commercial6Original policy ↗
SURG.00141 Doppler-Guided Transanal Hemorrhoidal DearterializationSURG.00141 · Commercial1Original policy ↗
SURG.00142 Genicular Procedures for Treatment of Knee PainSURG.00142 · Commercial7Original policy ↗
SURG.00144 Occipital and Sphenopalatine Ganglion Nerve Block Therapy for the Treatment of Headache and NeuralgiaSURG.00144 · Commercial3Original policy ↗
SURG.00145 Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous Ventricular Assist Devices and Artificial Hearts)SURG.00145 · Commercial12Original policy ↗
SURG.00146 Extracorporeal Carbon Dioxide RemovalSURG.00146 · Commercial1Original policy ↗
SURG.00148 Spectral Analysis of Prostate Tissue by Fluorescence SpectroscopySURG.00148 · Commercial1Original policy ↗
SURG.00149 Percutaneous Ultrasonic Ablation of Soft TissueSURG.00149 · Commercial2Original policy ↗
SURG.00153 Cardiac Contractility Modulation TherapySURG.00153 · Commercial32Original policy ↗
SURG.00155 Cryosurgery of Peripheral NervesSURG.00155 · Commercial8Original policy ↗
SURG.00158 Implantable Peripheral Nerve Stimulation Devices as a Treatment for PainSURG.00158 · Commercial16Original policy ↗

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The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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