Anthem Blue Cross Blue Shield of Indiana policy

Download the Dental Provider Reference Manual

Download the Dental Provider Reference Manual is a public Anthem Blue Cross Blue Shield of Indiana policy. It lists 111 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Anthem Blue Cross Blue Shield of Indiana
Line of business
Commercial
States
CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, 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.

CodeOther Anthem Blue Cross Blue Shield of Indiana policies
30348Policies naming 30348
55440Policies naming 55440
78265Policies naming 78265
D2390Policies naming D2390
D2510Policies naming D2510
D2664Policies naming D2664
D2710Policies naming D2710
D2799Policies naming D2799
D2930Policies naming D2930
D2934Policies naming D2934
D2940Policies naming D2940
D2950Policies naming D2950
D2952Policies naming D2952
D2957Policies naming D2957
D2960Policies naming D2960
D2962Policies naming D2962
D2980Policies naming D2980
D2983Policies naming D2983
D3220Policies naming D3220
D3240Policies naming D3240
D3310Policies naming D3310
D3348Policies naming D3348
D3351Policies naming D3351
D3353Policies naming D3353
D3355Policies naming D3355
D3357Policies naming D3357
D3410Policies naming D3410
D3450Policies naming D3450
D3460Policies naming D3460
D3470Policies naming D3470
D3920Policies naming D3920
D4210Policies naming D4210
D4211Policies naming D4211
D4212Policies naming D4212
D4240Policies naming D4240
D4245Policies naming D4245
D4249Policies naming D4249
D4260Policies naming D4260
D4261Policies naming D4261
D4263Policies naming D4263
D4264Policies naming D4264
D4265Policies naming D4265
D4267Policies naming D4267
D4268Policies naming D4268
D4270Policies naming D4270
D4274Policies naming D4274
D4285Policies naming D4285
D4341Policies naming D4341
D4342Policies naming D4342
D4355Policies naming D4355
D4381Policies naming D4381
D4910Policies naming D4910
D5110Policies naming D5110
D5140Policies naming D5140
D5211Policies naming D5211
D5226Policies naming D5226
D5281Policies naming D5281
D5410Policies naming D5410
D5761Policies naming D5761
D5982Policies naming D5982
D6010Policies naming D6010
D6190Policies naming D6190
D6199Policies naming D6199
D6205Policies naming D6205
D6290Policies naming D6290
D6794Policies naming D6794
D6999Policies naming D6999
D7210Policies naming D7210
D7251Policies naming D7251
D7260Policies naming D7260
D7270Policies naming D7270
D7272Policies naming D7272
D7283Policies naming D7283
D7285Policies naming D7285
D7286Policies naming D7286
D7287Policies naming D7287
D7291Policies naming D7291
D7310Policies naming D7310
D7321Policies naming D7321
D7410Policies naming D7410
D7461Policies naming D7461
D7471Policies naming D7471
D7490Policies naming D7490
D7510Policies naming D7510
D7521Policies naming D7521
D7530Policies naming D7530
D7560Policies naming D7560
D7810Policies naming D7810
D7877Policies naming D7877
D7880Policies naming D7880
D7881Policies naming D7881
D7899Policies naming D7899
D7920Policies naming D7920
D7951Policies naming D7951
D7953Policies naming D7953
D7960Policies naming D7960
D7963Policies naming D7963
D7970Policies naming D7970
D7996Policies naming D7996
D8030Policies naming D8030
D8090Policies naming D8090
D9120Policies naming D9120
D9223Policies naming D9223
D9243Policies naming D9243
D9610Policies naming D9610
D9630Policies naming D9630
D9920Policies naming D9920
D9930Policies naming D9930
D9940Policies naming D9940
D9951Policies naming D9951
D9952Policies naming D9952

All Anthem Blue Cross Blue Shield of Indiana policies

Disclaimer

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.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.