Anthem Blue Cross Blue Shield of Georgia policy
CG-SURG-116 Surgical Treatment of Hyperhidrosis
CG-SURG-116 Surgical Treatment of Hyperhidrosis is a public Anthem Blue Cross Blue Shield of Georgia policy (policy CG-SURG-116). It lists 9 CPT or HCPCS codes, 7 of them on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- CG-SURG-116
- 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 Georgia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Georgia policies |
|---|---|---|---|
| 15876 | On the list | Suction assisted lipectomy; head and neck | Policies naming 15876 |
| 15877 | On the list | Suction assisted lipectomy; trunk | Policies naming 15877 |
| 15878 | On the list | Suction assisted lipectomy; upper extremity | Policies naming 15878 |
| 15879 | On the list | Suction assisted lipectomy; lower extremity | Policies naming 15879 |
| 17999 | On the list | Unlisted procedure, skin, mucous membrane and subcutaneous tissue | Policies naming 17999 |
| 32664 | Not listed | Policies naming 32664 | |
| 64520 | On the list | Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) | Policies naming 64520 |
| 64818 | Not listed | Policies naming 64818 | |
| 64999 | On the list | Unlisted procedure, nervous system | Policies naming 64999 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list