Anthem Blue Cross Blue Shield of Colorado policy
CG-SURG-46 Myringotomy and Tympanostomy Tube Insertion
CG-SURG-46 Myringotomy and Tympanostomy Tube Insertion is a public Anthem Blue Cross Blue Shield of Colorado policy (policy CG-SURG-46). It lists 6 CPT or HCPCS codes, 3 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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- Policy number
- CG-SURG-46
- 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.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Colorado policies |
|---|---|---|---|
| 0583T | Not listed | Policies naming 0583T | |
| 69420 | Not listed | Policies naming 69420 | |
| 69421 | On the list | Myringotomy W/Aspiration &/Or Eustachian Tube Inflation Requiring General Anesthesia | Policies naming 69421 |
| 69433 | On the list | Tympanostomy (Requiring Insertion, Ventilating Tube), Local/Topical Anesthesia | Policies naming 69433 |
| 69436 | On the list | Tympanostomy (Requiring Insertion, Ventilating Tube), General Anesthesia | Policies naming 69436 |
| G0561 | Not listed | Policies naming G0561 |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list