Anthem Blue Cross Blue Shield of Georgia policy
LAB.00046 Testing for Biochemical Markers for Alzheimer’s Disease
LAB.00046 Testing for Biochemical Markers for Alzheimer’s Disease is a public Anthem Blue Cross Blue Shield of Georgia policy (policy LAB.00046). It lists 19 CPT or HCPCS codes, 10 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
- LAB.00046
- 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 |
|---|---|---|---|
| 0206U | Not listed | Policies naming 0206U | |
| 0207U | Not listed | Policies naming 0207U | |
| 0358U | On the list | Neurology (mild cognitive impairment), analysis of β- amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative | Policies naming 0358U |
| 0412U | On the list | Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific proteotyping, plasma combined with age, algorithm reported as presence or absence of brain amyloid pathology | Policies naming 0412U |
| 0445U | Not listed | Policies naming 0445U | |
| 0459U | On the list | B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology | Policies naming 0459U |
| 0479U | Not listed | Policies naming 0479U | |
| 0503U | On the list | Neurology (Alzheimer disease), beta amyloid (AB40, AB42, AB42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantita | Policies naming 0503U |
| 0547U | Not listed | Policies naming 0547U | |
| 0568U | Not listed | Policies naming 0568U | |
| 0596U | Not listed | Policies naming 0596U | |
| 81599 | Not listed | Policies naming 81599 | |
| 82233 | On the list | Beta-amyloid; 1-40 | Policies naming 82233 |
| 82234 | On the list | Beta-amyloid; 1-42 | Policies naming 82234 |
| 83520 | On the list | Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise sp | Policies naming 83520 |
| 83884 | On the list | Neurofilament light chain | Policies naming 83884 |
| 84393 | On the list | Tau, phosphorylated | Policies naming 84393 |
| 84394 | On the list | Tau, total | Policies naming 84394 |
| 84999 | Not listed | Policies naming 84999 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list