Anthem Blue Cross Blue Shield of California policy
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care is a public Anthem Blue Cross Blue Shield of California policy (policy RAD.00038). It lists 3 CPT or HCPCS codes, 3 of them on the Anthem Blue Cross Blue Shield of California prior authorization list. Not a coverage decision; the payer's own document governs.
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Policy number
- RAD.00038
- 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 |
|---|---|---|---|
| 76376 | On the list | 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation | Policies naming 76376 |
| 76377 | On the list | 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation | Policies naming 76377 |
| 76499 | On the list | Unlisted diagnostic radiographic procedure [when specified as 4-D or 5-D rendering of fetal ultrasound] | Policies naming 76499 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list