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Anthem Blue Cross and Blue Shield Virginia policies, page 6

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
CG-TRANS-03 Donor Lymphocyte Infusion for Hematologic Malignancies after Allogeneic Hematopoietic Progenitor Cell TransplantationCG-TRANS-03 · Commercial2Original policy ↗
Claims Requiring Additional Documentation – Professional and FacilityC-22001 · Effective Mar 1, 2023 · Commercial · VA—Original policy ↗
Clinical and ADT Data Sharing GuidelineVABCBS-CM-028359-23 · Effective Jul 1, 2023 · Commercial · VA—Original policy ↗
Clinical Data SharingCommercial · CT, GA, ME, NH, NV, NY, VA—Original policy ↗
Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in VirginiaCommercial · VA—Original policy ↗
CMS 1500 (version 08/05) Paper Claim Filing InstructionsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Coblation® Therapies for Musculoskeletal ConditionsSURG.00088 · Commercial2Original policy ↗
Code and Clinical Editing Guidelines – Professional and FacilityC-25002 · Effective Dec 1, 2025 · Commercial · VA—Original policy ↗
Commercial Medical Record StandardsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Commercial Medical Record StandardsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Commercial Risk Adjustment Coding GuideCommercial · CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI—Original policy ↗
Consultation Services – ProfessionalC-09010 · Effective Mar 1, 2025 · Commercial · VA10Original policy ↗
Cryoablation for Plantar Fasciitis and Plantar FibromaSURG.00100 · Commercial2Original policy ↗
Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the LiverCG-SURG-61 · Commercial25Original policy ↗
Deep Brain Stimulation and Responsive NeurostimulationSURG.00026 · Commercial22Original policy ↗
Dental claims review submission requirementsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI125Original policy ↗
Dental Web Portal NotificationCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Destruction of Pre-Malignant Skin LesionsCG-SURG-37 · Commercial3Original policy ↗
Diagnostic Radiopharmaceuticals and Contract Material- Professional and FacilityC-24001 · Effective Mar 1, 2025 · Commercial · VA—Original policy ↗
DME Modifiers - ProfessionalC-19006 · Effective Dec 1, 2023 · Commercial · VA—Original policy ↗
DME Rent to Purchase - ProfessionalC-19007 · Effective Mar 1, 2023 · Commercial · VA8Original policy ↗
DME.00012 Intrapulmonary Percussive Ventilation DevicesDME.00012 · Commercial1Original policy ↗
DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)DME.00022 · Commercial5Original policy ↗
DME.00030 Altered Auditory Feedback Devices for Fluency DisordersDME.00030 · Commercial1Original policy ↗
DME.00037 Cooling Devices and Combined Cooling/Heating DevicesDME.00037 · Commercial6Original policy ↗
DME.00038 Static Progressive Stretch (SPS) and Patient-Actuated Serial Stretch (PASS) DevicesDME.00038 · Commercial9Original policy ↗
DME.00046 Intermittent Abdominal Pressure Ventilation DevicesDME.00046 · Commercial1Original policy ↗
DME.00047 Rehabilitative Devices with Remote MonitoringDME.00047 · Commercial1Original policy ↗
DME.00048 Virtual Reality-Assisted Therapy SystemsDME.00048 · Commercial7Original policy ↗
DME.00049 External Upper Limb Stimulation for the Treatment of TremorsDME.00049 · Commercial2Original policy ↗
DME.00053 Home Video-Assisted Robotic Rehabilitation SystemsDME.00053 · Commercial1Original policy ↗
Documentation and Reporting Guidelines for Evaluation and Management Services – ProfessionalC-09007 · Effective Dec 1, 2023 · Commercial · VA2Original policy ↗
Documentation Guidelines for Psychotherapy Services - ProfessionalC-14006 · Effective Dec 1, 2023 · Commercial · VA—Original policy ↗
Documentation Standards for Episodes of Care – Professional and FacilityC-20003 · Effective Dec 1, 2025 · Commercial · VA—Original policy ↗
Dos and Don’ts of Colorectal Cancer Screening080315 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Download the Dental Provider Reference ManualCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI111Original policy ↗
Download the PDSA WorksheetCommercial · CT, GA, NH, VA—Original policy ↗
Drug Screen Testing – ProfessionalC-12004 · Effective Mar 1, 2025 · Commercial · VA17Original policy ↗
Edinburgh Postnatal Depression Scale (EPDS)Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous DevicesDME.00011 · Commercial15Original policy ↗
Electronic ID Cards Dental Quick Reference GuideCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Electronic Member ID Cards Quick Reference GuideCommercial · VA—Original policy ↗
Emergency Department Protocol for SIU ReviewCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI10Original policy ↗
Example of Cardiology Referral Preparedness ToolCommercial · CT, GA, NH, VA—Original policy ↗
Example of Endocrinology Referral Preparedness ToolCommercial · CT, GA, NH, VA—Original policy ↗
Example of OB/GYN Referral Preparedness ToolCommercial · CT, GA, NH, VA—Original policy ↗
Frequency Editing - ProfessionalC-08012 · Effective Mar 1, 2025 · Commercial · VA214Original policy ↗
Gene Therapy for Duchenne Muscular DystrophyMED.00144 · Commercial1Original policy ↗
Global Surgical Package - ProfessionalC-08007 · Effective Dec 1, 2023 · Commercial · VA158Original policy ↗
Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation Services (Rule of 8) - ProfessionalC-07002 · Effective Mar 1, 2023 · Commercial · VA1Original policy ↗

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Disclaimer

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.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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