Anthem Blue Cross Blue Shield of Indiana policy
SURG.00165 Histotripsy
SURG.00165 Histotripsy is a public Anthem Blue Cross Blue Shield of Indiana policy (policy SURG.00165). It lists 5 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- SURG.00165
- 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.
| Code | Other Anthem Blue Cross Blue Shield of Indiana policies |
|---|---|
| 0686T | Policies naming 0686T |
| 0888T | Policies naming 0888T |
| 1037T | Policies naming 1037T |
| 47399 | Policies naming 47399 |
| 55899 | Policies naming 55899 |