Blue Cross and Blue Shield of Illinois policy

Cosmetic and Reconstructive Procedures

Cosmetic and Reconstructive Procedures is a public Blue Cross and Blue Shield of Illinois policy (policy SUR716.001). It lists 62 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Blue Cross and Blue Shield of Illinois
Policy number
SUR716.001
Line of business
Commercial, Medicaid
Source
medicalpolicy.hcsc.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Blue Cross and Blue Shield of Illinois policies
0419TPolicies naming 0419T
0420TPolicies naming 0420T
0479TPolicies naming 0479T
0480TPolicies naming 0480T
11200Policies naming 11200
11201Policies naming 11201
11920Policies naming 11920
11921Policies naming 11921
11922Policies naming 11922
11950Policies naming 11950
11951Policies naming 11951
11952Policies naming 11952
11954Policies naming 11954
11960Policies naming 11960
11970Policies naming 11970
15775Policies naming 15775
15776Policies naming 15776
15780Policies naming 15780
15781Policies naming 15781
15782Policies naming 15782
15783Policies naming 15783
15786Policies naming 15786
15787Policies naming 15787
15824Policies naming 15824
15825Policies naming 15825
15826Policies naming 15826
15828Policies naming 15828
15829Policies naming 15829
15830Policies naming 15830
15832Policies naming 15832
15833Policies naming 15833
15834Policies naming 15834
15835Policies naming 15835
15836Policies naming 15836
15837Policies naming 15837
15838Policies naming 15838
15839Policies naming 15839
15847Policies naming 15847
15876Policies naming 15876
15877Policies naming 15877
15878Policies naming 15878
15879Policies naming 15879
17380Policies naming 17380
19318Policies naming 19318
19355Policies naming 19355
21120Policies naming 21120
21121Policies naming 21121
21122Policies naming 21122
21123Policies naming 21123
21282Policies naming 21282
31573Policies naming 31573
31574Policies naming 31574
41872Policies naming 41872
54660Policies naming 54660
67900Policies naming 67900
69090Policies naming 69090
69300Policies naming 69300
G0429Policies naming G0429
J3490Policies naming J3490
L8607Policies naming L8607
Q2026Policies naming Q2026
Q2028Policies naming Q2028

All Blue Cross and Blue Shield of Illinois 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.