Anthem Blue Cross Blue Shield of Georgia policy
CG-SURG-81 Cochlear Implants and Auditory Brainstem Implants
CG-SURG-81 Cochlear Implants and Auditory Brainstem Implants is a public Anthem Blue Cross Blue Shield of Georgia policy (policy CG-SURG-81). It lists 8 CPT or HCPCS codes, 6 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-81
- 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 |
|---|---|---|---|
| 69930 | On the list | Cochlear device implantation, with or without mastoidectomy | Policies naming 69930 |
| 69949 | On the list | Unlisted procedure, inner ear | Policies naming 69949 |
| L8614 | On the list | Cochlear device, includes all internal and external components | Policies naming L8614 |
| L8619 | On the list | Cochlear implant, external speech processor and controller, integrated system, replacement | Policies naming L8619 |
| L8627 | On the list | Cochlear implant, external speech processor, component, replacement | Policies naming L8627 |
| L8628 | On the list | Cochlear implant, external controller component, replacement | Policies naming L8628 |
| L8699 | Not listed | Policies naming L8699 | |
| S2235 | Not listed | Policies naming S2235 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list