Anthem Blue Cross Blue Shield of California policies, page 7

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
DME.00048 Virtual Reality-Assisted Therapy SystemsDME.00048 · Commercial7Original policy ↗
DME.00049 External Upper Limb Stimulation for the Treatment of TremorsDME.00049 · Commercial2Original policy ↗
DME.00053 Home Video-Assisted Robotic Rehabilitation SystemsDME.00053 · Commercial1Original policy ↗
Documentation and Reporting Guidelines for Evaluation and Management Services – ProfessionalC-09007 · Effective Jul 1, 2026 · Commercial · CA2Original policy ↗
Documentation Standards for Episodes of Care – Professional and FacilityC-20003 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Dos and Don’ts of Colorectal Cancer Screening080315 · Commercial · CA—Original policy ↗
DRG Newborn Inpatient Stays - FacilityC-18002 · Effective Oct 1, 2026 · Commercial · CA—Original policy ↗
Drug Screen Testing - ProfessionalC-12004 · Effective Oct 1, 2026 · Commercial · CA17Original policy ↗
Drugs and Devices Requiring Procedures – FacilityC-26001 · Effective Oct 1, 2026 · Commercial · CA—Original policy ↗
Edinburgh Postnatal Depression Scale (EPDS)Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous DevicesDME.00011 · Commercial15Original policy ↗
Electronic Member ID Cards Quick Reference GuideCommercial · CA—Original policy ↗
Electronic Member ID Cards: Dental Quick Reference GuideCommercial · CA—Original policy ↗
Emergency Department Protocol for SIU ReviewCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI10Original policy ↗
Emergency Department: Leveling of Evaluation and Management Services- FacilityC-13001 · Effective Jul 1, 2024 · Commercial · CA—Original policy ↗
Emergency Room Transfers – FacilityC-20006 · Effective Jan 1, 2026 · Commercial · CA5Original policy ↗
Encounter Utilization Quality TrackingCommercial · CA—Original policy ↗
Facility Global Surgery - FacilityC-17003 · Effective Jul 1, 2024 · Commercial · CA—Original policy ↗
Facility Guidelines for Claims Related to Professional Services - FacilityC-15004 · Effective Jan 1, 2027 · Commercial · CA17Original policy ↗
Facility Guidelines for Claims Related to Professional Services – FacilityC-15004 · Effective Apr 1, 2026 · Commercial · CA10Original policy ↗
Frequency Editing - ProfessionalC-08012 · Effective Apr 1, 2026 · Commercial · CA194Original policy ↗
Gene Therapy for Duchenne Muscular DystrophyMED.00144 · Commercial1Original policy ↗
Global Surgical Package- ProfessionalC-08007 · Effective Jul 1, 2024 · Commercial · CA159Original policy ↗
Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation Services - ProfessionalC-07002 · Effective Jul 1, 2026 · Commercial · CA1Original policy ↗
Hand TransplantationTRANS.00040 · Commercial1Original policy ↗
Health and Behavior Assessment and Intervention – ProfessionalC-11003 · Effective Apr 1, 2026 · Commercial · CA11Original policy ↗
HEDIS Benchmarks and Coding Guidelines for Quality CareCABC-CM-048424-23-CPN48295 · Commercial · CA467Original policy ↗
HEDIS ECDS Coding Booklet 2024 - MedicareCABC-CR-048494-23-CPN48308 · CA466Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · CA451Original policy ↗
HEDIS Prenatal and Postpartum Care Coding Bulletin Electronic Clinical Data SystemsCommercial · CA36Original policy ↗
High-volume Colonic IrrigationMED.00141 · Commercial1Original policy ↗
HMO Provider ManualCABC-CM-PM-086312-25 · Effective Jul 15, 2026 · Commercial · CA—Original policy ↗
HMO PROVIDER MANUALEffective Jul 1, 2023 · Commercial · CA—Original policy ↗
HMO Provider ManualCABC-CM-PM-066113-24 · Effective Dec 1, 2024 · Commercial · CA—Original policy ↗
HMO Provider Performance MetricsCA-BC-CM-021714-26-S5639 · Commercial · CA—Original policy ↗
Implanted Artificial Iris DevicesSURG.00156 · Commercial2Original policy ↗
Implants - FacilityC-14001 · Effective Jan 1, 2026 · Commercial · CA—Original policy ↗
Incentive opportunity for physicians treating patients with Anthem Blue Cross plans purchased on or off the exchangeCommercial · CA—Original policy ↗
Incident to Services and Billing - ProfessionalC-11002 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Inpatient Readmissions - FacilityC-17002 · Effective Jul 1, 2026 · Commercial · CA—Original policy ↗
Intraoperative Neuromonitoring - ProfessionalC-24002 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
LAB.00015 Detection of Circulating Tumor CellsLAB.00015 · Commercial8Original policy ↗
LAB.00016 Fecal Analysis Panels in the Diagnosis of Intestinal DisordersLAB.00016 · Commercial3Original policy ↗
LAB.00019 Algorithmic Tests for Liver FibrosisLAB.00019 · Commercial10Original policy ↗
LAB.00024 Immune Cell Function AssayLAB.00024 · Commercial4Original policy ↗
LAB.00025 Topographic GenotypingLAB.00025 · Commercial3Original policy ↗
LAB.00027 Selected Blood, Serum and Cellular Allergy and Toxicity TestsLAB.00027 · Commercial7Original policy ↗
LAB.00028 Blood-based Biomarker Tests for Multiple SclerosisLAB.00028 · Commercial4Original policy ↗
LAB.00029 Rupture of Membranes Testing in PregnancyLAB.00029 · Commercial1Original policy ↗
LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate CancerLAB.00033 · Commercial7Original policy ↗

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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.