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Anthem Blue Cross Blue Shield of California policies, page 10

Search Anthem Blue Cross Blue Shield of California's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

576 public policies Substrate tracks for Anthem Blue Cross Blue Shield of California, by title.

Anthem Blue Cross Blue Shield of California policies
PolicyDetailsCodesSource
Pancreas Transplantation and Pancreas Kidney TransplantationTRANS.00011 · Commercial17Original policy ↗
Partial Hospitalization Program and Intensive Outpatient Program Services - FacilityC-19002 · Effective Jul 1, 2026 · Commercial · CA—Original policy ↗
Percutaneous Spinal SurgerySURG.00071 · Commercial8Original policy ↗
Pharmaceutical Waste – Professional and FacilityC-11031 · Effective Oct 1, 2026 · Commercial · CA2Original policy ↗
Place of Service - ProfessionalC-24004 · Effective Jan 1, 2026 · Commercial · CA—Original policy ↗
Portable Normothermic Organ Perfusion SystemsTRANS.00039 · Commercial10Original policy ↗
Powered Robotic Lower Body Exoskeleton DevicesOR-PR.00006 · Commercial2Original policy ↗
Practitioner Credentialing RightsCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Pregnancy: Your Birth Options After CesareanCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Preoperative Testing for Low Risk Invasive Procedures and SurgeriesCG-MED-61 · Commercial16Original policy ↗
Preventive Care Services Covered with No Member Cost-shareCommercial · CA—Original policy ↗
Preventive Medicine Services with Screening and other Evaluation and Management Services – ProfessionalC-12002 · Effective Jan 1, 2027 · Commercial · CA54Original policy ↗
Prolonged Services – ProfessionalC-08011 · Effective Jan 1, 2026 · Commercial · CA12Original policy ↗
Provider AppealsCommercial · CA1Original policy ↗
Provider Confirmation: Special Supplemental Benefits for the Chronically IllCABC-CR-074075-24-CPN73927 · CA—Original policy ↗
Provider Digital Engagement SupplementCABC-CDCRCM-023340-23-CPN21196 · Commercial, Medicaid · CA—Original policy ↗
Provider Preventable Conditions – Professional and FacilityC-23002 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Quantitative Muscle Testing DevicesMED.00089 · Commercial1Original policy ↗
Quantitative Sensory TestingMED.00082 · Commercial6Original policy ↗
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity CareRAD.00038 · Commercial3Original policy ↗
RAD.00044 Magnetic Resonance NeurographyRAD.00044 · Commercial1Original policy ↗
RAD.00053 Cervical and Thoracic DiscographyRAD.00053 · Commercial2Original policy ↗
RAD.00064 Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed Tomography (SPECT)RAD.00064 · Commercial2Original policy ↗
RAD.00067 Quantitative Ultrasound for Tissue CharacterizationRAD.00067 · Commercial2Original policy ↗
RAD.00068 Myocardial Strain ImagingRAD.00068 · Commercial3Original policy ↗
Registering an Availity User for Anthem Services in CaliforniaAVA1202-5-0414 · Effective Apr 17, 2014 · Commercial · CA—Original policy ↗
Remote Devices for Intermittent Monitoring of Intraocular PressureDME.00050 · Commercial1Original policy ↗
Respiratory Viral Panel Testing in the Outpatient SettingCG-LAB-14 · Commercial10Original policy ↗
Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization Management (UM) GuidelineADMIN.00006 · Commercial—Original policy ↗
Robotic Arm Assistive DevicesDME.00044 · Commercial1Original policy ↗
Roster Automation Rules of EngagementCABC-CDCRCM-26116-23-CPN25245 · Commercial, Medicaid · CA—Original policy ↗
Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal IncontinenceCG-SURG-95 · Commercial19Original policy ↗
Screening Services with Related Evaluation and Management Services – ProfessionalC-12002 · Effective Jan 1, 2026 · Commercial · CA8Original policy ↗
Seat Lift MechanismsCG-DME-25 · Commercial5Original policy ↗
Selected Protein Biomarker Algorithmic AssaysLAB.00011 · Commercial9Original policy ↗
Senate Bill 137 (Provider Directory) FAQsCommercial, Medicaid · CA—Original policy ↗
Serum Biomarker Tests for Risk of PreeclampsiaLAB.00040 · Commercial8Original policy ↗
Situations when Clinical Information is required for Claims SubmissionCommercial · CA—Original policy ↗
Sleep Studies and Related Bundled Services and Supplies – ProfessionalC-09009 · Effective Jan 1, 2026 · Commercial · CA12Original policy ↗
Sleep Studies and Related Bundled Services and Supplies – Professional and FacilityC-09009 · Effective Jan 1, 2027 · Commercial · CA12Original policy ↗
Small Bowel, Small Bowel/Liver and Multivisceral TransplantationTRANS.00013 · Commercial17Original policy ↗
Specialty Pharmacy Exception Request FormCommercial · CA—Original policy ↗
Specialty Pharmacy Program Expansion - Level of Care Review FAQsCommercial · CA—Original policy ↗
Split-Care Surgical Modifiers - ProfessionalC-23004 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Standby Services - ProfessionalC-09005 · Effective Jan 1, 2026 · Commercial · CA5Original policy ↗
Substance Brief Intervention/Referral Tool (SBIRT)Commercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI6Original policy ↗
SURG.00008 Mechanized Spinal Distraction TherapySURG.00008 · Commercial2Original policy ↗
SURG.00011 Products for Wound Healing and Soft Tissue Grafting: InvestigationalSURG.00011 · Commercial377Original policy ↗
SURG.00019 Transmyocardial RevascularizationSURG.00019 · Commercial3Original policy ↗
SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast ProceduresSURG.00023 · Commercial30Original policy ↗

Back to Anthem Blue Cross Blue Shield of California · Anthem Blue Cross Blue Shield of California prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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