Anthem Blue Cross Blue Shield of Colorado policy
LAB.00051 Per- and Polyfluoroalkyl Substances (PFAS) Testing
LAB.00051 Per- and Polyfluoroalkyl Substances (PFAS) Testing is a public Anthem Blue Cross Blue Shield of Colorado policy (policy LAB.00051). It lists 7 CPT or HCPCS codes, 6 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
- LAB.00051
- 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 |
|---|---|---|---|
| 0394U | On the list | Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M | Policies naming 0394U |
| 0457U | On the list | Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 9 PFAS compounds by LC-MS/MS, plasma or serum, quantitative | Policies naming 0457U |
| 0535U | On the list | Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC- MS/MS), plasma or seru | Policies naming 0535U |
| 0589U | On the list | Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography with tandem mass spec | Policies naming 0589U |
| 82542 | On the list | Column Chromatography/Mass Spectrometry; Quantitative, Single Stationary & Mobile Phase | Policies naming 82542 |
| 83921 | On the list | Organic Acid, Single, Quantitative | Policies naming 83921 |
| 84999 | Not listed | Policies naming 84999 |
All Anthem Blue Cross Blue Shield of Colorado policies · Anthem Blue Cross Blue Shield of Colorado prior authorization CPT list