Blue Cross and Blue Shield of Illinois policy
Sphenopalatine Ganglion Block for Headache
Sphenopalatine Ganglion Block for Headache is a public Blue Cross and Blue Shield of Illinois policy (policy MED205.039, effective Aug 15, 2025). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- MED205.039
- Effective
- Aug 15, 2025
- 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 |
|---|---|
| 64400 | Policies naming 64400 |
| 64505 | Policies naming 64505 |
| 64999 | Policies naming 64999 |
| J1094 | Policies naming J1094 |
| J1100 | Policies naming J1100 |
| J2795 | Policies naming J2795 |
| S0020 | Policies naming S0020 |