Blue Cross and Blue Shield of Illinois policy
Surgical Treatments for Breast Cancer-Related Lymphedema
Surgical Treatments for Breast Cancer-Related Lymphedema is a public Blue Cross and Blue Shield of Illinois policy (policy SUR701.024, effective Dec 15, 2025). It lists 17 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR701.024
- Effective
- Dec 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 |
|---|---|
| 1019T | Policies naming 1019T |
| 15756 | Policies naming 15756 |
| 15758 | Policies naming 15758 |
| 15830 | Policies naming 15830 |
| 15832 | Policies naming 15832 |
| 15833 | Policies naming 15833 |
| 15834 | Policies naming 15834 |
| 15835 | Policies naming 15835 |
| 15836 | Policies naming 15836 |
| 15837 | Policies naming 15837 |
| 15838 | Policies naming 15838 |
| 15839 | Policies naming 15839 |
| 15847 | Policies naming 15847 |
| 38308 | Policies naming 38308 |
| 38589 | Policies naming 38589 |
| 38999 | Policies naming 38999 |
| 49906 | Policies naming 49906 |