Anthem Blue Cross Blue Shield of California policy
SURG.00079 Nasal Valve Repair
SURG.00079 Nasal Valve Repair is a public Anthem Blue Cross Blue Shield of California policy (policy SURG.00079). 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.
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- Policy number
- SURG.00079
- 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 |
|---|---|---|---|
| 30468 | On the list | Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) | Policies naming 30468 |
| 30469 | On the list | Repair of nasal valve collapse with low energy, temperature- controlled (i.e., radiofrequency) subcutaneous/submucosal remodeling | Policies naming 30469 |
| 30999 | On the list | Unlisted procedure, nose [when specified as rhinophototherapy, intranasal application of ultraviolet and visible light] or [when specified as nasal valve suspension by any method] or [when specified as minimally invasive treatment of the posterior nasal nerve, for example using cryotherapy, radiofrequency therapy or laser] | Policies naming 30999 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list