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Anthem Blue Cross Blue Shield of Georgia policies

Search Anthem Blue Cross Blue Shield of Georgia's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

76377 is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. See its prior authorization entry

5 policies name 76377, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Anthem Blue Cross Blue Shield of Georgia policies
PolicyDetailsCodesSource
Three-Dimensional (3D) Radiology Services – Professional and FacilityC-22004 · Effective May 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI2Original policy ↗
RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity CareRAD.00038 · Commercial3Original policy ↗
SHBP Prior Authorization Code ListCommercial · GA1,299Original policy ↗
SHBP Medical Policies & Clinical Guidelines Precertification Code ListEffective Jan 1, 2022 · Commercial · GA2,220Original policy ↗
SHBP Prior Authorization RequirementsCommercial · GA2,569Original policy ↗

Back to Anthem Blue Cross Blue Shield of Georgia · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list

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The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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