Anthem Blue Cross Blue Shield of California policies

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.

12 policies name 99281, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Anthem Blue Cross Blue Shield of California policies
PolicyDetailsCodesSource
Emergency Room Transfers – FacilityC-20006 · Effective Jan 1, 2026 · Commercial · CA5Original policy ↗
Critical Care to Home – FacilityC-25004 · Effective Oct 1, 2026 · Commercial · CA6Original policy ↗
Emergency Department Protocol for SIU ReviewCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI10Original policy ↗
Facility Guidelines for Claims Related to Professional Services – FacilityC-15004 · Effective Apr 1, 2026 · Commercial · CA10Original policy ↗
Observation Services - FacilityC-11005 · Effective Oct 1, 2026 · Commercial · CA14Original policy ↗
Facility Guidelines for Claims Related to Professional Services - FacilityC-15004 · Effective Jan 1, 2027 · Commercial · CA17Original policy ↗
Preventive Medicine Services with Screening and other Evaluation and Management Services – ProfessionalC-12002 · Effective Jan 1, 2027 · Commercial · CA54Original policy ↗
Anthem Blue Cross Facility Provider ManualEffective Mar 1, 2017 · Commercial, Medicaid · CA121Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Jul 1, 2026 · Commercial · CA130Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jul 1, 2026 · Commercial · CA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jan 1, 2027 · Commercial · CA360Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · CA451Original 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.

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