Anthem Blue Cross Blue Shield of California policy
SURG.00008 Mechanized Spinal Distraction Therapy
SURG.00008 Mechanized Spinal Distraction Therapy is a public Anthem Blue Cross Blue Shield of California policy (policy SURG.00008). 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.00008
- 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 |
|---|---|---|---|
| 97039 | On the list | Unlisted modality [when specified as vertebral axial decompression] | Policies naming 97039 |
| S9090 | On the list | Vertebral axial decompression, per session | Policies naming S9090 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list