Anthem Blue Cross and Blue Shield Virginia policies

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.

20 policies name E1399, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Anthem Blue Cross and Blue Shield Virginia policies
PolicyDetailsCodesSource
DME.00030 Altered Auditory Feedback Devices for Fluency DisordersDME.00030 · Commercial1Original policy ↗
DME.00047 Rehabilitative Devices with Remote MonitoringDME.00047 · Commercial1Original policy ↗
Remote Devices for Intermittent Monitoring of Intraocular PressureDME.00050 · Commercial1Original policy ↗
Robotic Arm Assistive DevicesDME.00044 · Commercial1Original policy ↗
CG-MED-28 IontophoresisCG-MED-28 · Commercial2Original policy ↗
MED.00138 Wearable Devices for Stress Relief and Management MED.00138 · Commercial2Original policy ↗
CG-DME-35 Electric Breast PumpsCG-DME-35 · Commercial3Original policy ↗
CG-MED-100 Surface Electrical Stimulation Devices for Headache and MigraineCG-MED-100 · Commercial3Original policy ↗
MED.00130 Surface Electromyography and Electrodermal Activity Sensor Devices for Seizure MonitoringMED.00130 · Commercial3Original policy ↗
CG-DME-30 Prothrombin Time Self-Monitoring DevicesCG-DME-30 · Commercial5Original policy ↗
DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)DME.00022 · Commercial5Original policy ↗
Non-invasive Cardiac Management and Monitoring SystemsMED.00134 · Commercial5Original policy ↗
CG-MED-96 Prefabricated External Infant Ear Molding SystemsCG-MED-96 · Commercial6Original policy ↗
DME.00037 Cooling Devices and Combined Cooling/Heating DevicesDME.00037 · Commercial6Original policy ↗
DME.00048 Virtual Reality-Assisted Therapy SystemsDME.00048 · Commercial7Original policy ↗
Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous DevicesDME.00011 · Commercial15Original policy ↗
CG-SURG-120 Vagus Nerve StimulationCG-SURG-120 · Commercial21Original policy ↗
CG-DME-16 Pressure-Reducing Support SurfacesCG-DME-16 · Commercial22Original policy ↗
CG-DME-39 Dynamic Low-Load Prolonged-Duration Stretch DevicesCG-DME-39 · Commercial23Original policy ↗
CG-DME-06 Compression Devices for LymphedemaCG-DME-06 · Commercial26Original policy ↗

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