Blue Cross and Blue Shield of Illinois policy
Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid Myolysis
Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid Myolysis is a public Blue Cross and Blue Shield of Illinois policy (policy SUR701.033, effective Jan 1, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- SUR701.033
- 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 |
|---|---|
| 0404T | Policies naming 0404T |
| 58578 | Policies naming 58578 |
| 58580 | Policies naming 58580 |
| 58674 | Policies naming 58674 |
| 58999 | Policies naming 58999 |
| 76940 | Policies naming 76940 |
| 76998 | Policies naming 76998 |
| 77022 | Policies naming 77022 |