Anthem Blue Cross Blue Shield of California policy
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons is a public Anthem Blue Cross Blue Shield of California policy (policy SURG.00043). 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.00043
- 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 |
|---|---|---|---|
| 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 |
| S2300 | On the list | Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy | Policies naming S2300 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list