Anthem Blue Cross Blue Shield of Colorado policy

CG-OR-PR-05 Myoelectric Upper Extremity Prosthetic Devices

CG-OR-PR-05 Myoelectric Upper Extremity Prosthetic Devices is a public Anthem Blue Cross Blue Shield of Colorado policy (policy CG-OR-PR-05). It lists 25 CPT or HCPCS codes, 0 of them on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage decision; the payer's own document governs.

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Payer
Anthem Blue Cross Blue Shield of Colorado
Policy number
CG-OR-PR-05
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 Colorado prior authorization list.

CodePrior authorizationDescription on the prior authorization listOther Anthem Blue Cross Blue Shield of Colorado policies
L6026Not listedPolicies naming L6026
L6611Not listedPolicies naming L6611
L6677Not listedPolicies naming L6677
L6700Not listedPolicies naming L6700
L6715Not listedPolicies naming L6715
L6880Not listedPolicies naming L6880
L6881Not listedPolicies naming L6881
L6882Not listedPolicies naming L6882
L6925Not listedPolicies naming L6925
L6935Not listedPolicies naming L6935
L6945Not listedPolicies naming L6945
L6955Not listedPolicies naming L6955
L6965Not listedPolicies naming L6965
L6975Not listedPolicies naming L6975
L7007Not listedPolicies naming L7007
L7008Not listedPolicies naming L7008
L7009Not listedPolicies naming L7009
L7045Not listedPolicies naming L7045
L7180Not listedPolicies naming L7180
L7181Not listedPolicies naming L7181
L7190Not listedPolicies naming L7190
L7191Not listedPolicies naming L7191
L7499Not listedPolicies naming L7499
L7510Not listedPolicies naming L7510
L7520Not listedPolicies naming L7520

All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado 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.