Anthem Blue Cross Blue Shield of Georgia policy
Facility Guidelines for Claims Related to Professional Services - Facility
Facility Guidelines for Claims Related to Professional Services - Facility is a public Anthem Blue Cross Blue Shield of Georgia policy (policy C-15004, effective Dec 1, 2026). It lists 19 CPT or HCPCS codes, 0 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
- C-15004
- Effective
- Dec 1, 2026
- Line of business
- Commercial
- States
- CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI
- 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 |
|---|---|---|---|
| 97802 | Not listed | Policies naming 97802 | |
| 97804 | Not listed | Policies naming 97804 | |
| 99202 | Not listed | Policies naming 99202 | |
| 99281 | Not listed | Policies naming 99281 | |
| 99285 | Not listed | Policies naming 99285 | |
| 99401 | Not listed | Policies naming 99401 | |
| 99404 | Not listed | Policies naming 99404 | |
| 99406 | Not listed | Policies naming 99406 | |
| 99409 | Not listed | Policies naming 99409 | |
| 99411 | Not listed | Policies naming 99411 | |
| 99412 | Not listed | Policies naming 99412 | |
| 99499 | Not listed | Policies naming 99499 | |
| G0270 | Not listed | Policies naming G0270 | |
| G0271 | Not listed | Policies naming G0271 | |
| G0272 | Not listed | Policies naming G0272 | |
| G0380 | Not listed | Policies naming G0380 | |
| G0384 | Not listed | Policies naming G0384 | |
| G0421 | Not listed | Policies naming G0421 | |
| G0447 | Not listed | Policies naming G0447 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list