Blue Cross and Blue Shield of Illinois policy
Orthognathic Surgery
Orthognathic Surgery is a public Blue Cross and Blue Shield of Illinois policy (policy SUR705.030). It lists 32 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- SUR705.030
- 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 |
|---|---|
| 21085 | Policies naming 21085 |
| 21110 | Policies naming 21110 |
| 21120 | Policies naming 21120 |
| 21122 | Policies naming 21122 |
| 21123 | Policies naming 21123 |
| 21125 | Policies naming 21125 |
| 21127 | Policies naming 21127 |
| 21141 | Policies naming 21141 |
| 21142 | Policies naming 21142 |
| 21143 | Policies naming 21143 |
| 21145 | Policies naming 21145 |
| 21146 | Policies naming 21146 |
| 21147 | Policies naming 21147 |
| 21150 | Policies naming 21150 |
| 21151 | Policies naming 21151 |
| 21154 | Policies naming 21154 |
| 21155 | Policies naming 21155 |
| 21159 | Policies naming 21159 |
| 21160 | Policies naming 21160 |
| 21188 | Policies naming 21188 |
| 21193 | Policies naming 21193 |
| 21194 | Policies naming 21194 |
| 21195 | Policies naming 21195 |
| 21196 | Policies naming 21196 |
| 21198 | Policies naming 21198 |
| 21199 | Policies naming 21199 |
| 21206 | Policies naming 21206 |
| 21208 | Policies naming 21208 |
| 21209 | Policies naming 21209 |
| 21210 | Policies naming 21210 |
| 21215 | Policies naming 21215 |
| 21230 | Policies naming 21230 |