Blue Cross and Blue Shield of Illinois policy
Hyperbaric Oxygen (HBO2) Therapy
Hyperbaric Oxygen (HBO2) Therapy is a public Blue Cross and Blue Shield of Illinois policy (policy THE801.003, effective Jan 1, 2026). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- THE801.003
- Effective
- Jan 1, 2026
- 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.
| Code | Other Blue Cross and Blue Shield of Illinois policies |
|---|---|
| 99183 | Policies naming 99183 |
| A4575 | Policies naming A4575 |
| E0446 | Policies naming E0446 |
| G0277 | Policies naming G0277 |