Anthem Blue Cross Blue Shield of California policy
SURG.00160 Implanted Port Delivery Systems to Treat Ocular Disease
SURG.00160 Implanted Port Delivery Systems to Treat Ocular Disease is a public Anthem Blue Cross Blue Shield of California policy (policy SURG.00160). 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.00160
- 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 |
|---|---|---|---|
| 67027 | On the list | Implantation of intravitreal drug delivery system (e.g., ganciclovir implant), includes concomitant removal of vitreous [when specified as intravitreal implantation of Encelto (revakinagene taroretcel-lwey) | Policies naming 67027 |
| J2779 | On the list | Injection, ranibizumab, via intravitreal implant (Susvimo), 0.1 mg | Policies naming J2779 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list