Anthem Blue Cross Blue Shield of California policy
Coblation® Therapies for Musculoskeletal Conditions
Coblation® Therapies for Musculoskeletal Conditions is a public Anthem Blue Cross Blue Shield of California policy (policy SURG.00088). It lists 2 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross Blue Shield of California prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- SURG.00088
- 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 Blue Shield of California prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of California policies |
|---|---|---|---|
| 20999 | On the list | Unlisted procedure, musculoskeletal system, general [when specified as high intensity focused ultrasound for pain palliation for bone metastases] or [No specific code for surgery using Coblation technology] or [when specified as radiofrequency or pulsed radiofrequency treatment of trigger points] or [when specified as percutaneous ultrasonic ablation of soft tissue] or [when specified as harvesting and injection of bone marrow aspirate concentrate or harvesting or administration of stem cells for therapy to repair damaged cells or body tissues] | Policies naming 20999 |
| 29999 | On the list | Unlisted procedure, arthroscopy [when specified as a tendon repair using BioBrace implant] or [when specified as thermal capsulorrhaphy of shoulder; elbow, wrist, hip, knee or ankle] or [when specified as surgery using Coblation technology] | Policies naming 29999 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list