Blue Cross and Blue Shield of Minnesota policy
Nonpharmacologic Treatment of Acne
Nonpharmacologic Treatment of Acne is a public Blue Cross and Blue Shield of Minnesota policy (policy II-33, effective Dec 1, 2025). It lists 21 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- II-33
- Effective
- Dec 1, 2025
- Line of business
- Commercial, Medicaid
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 Minnesota policies |
|---|---|
| 15780 | Policies naming 15780 |
| 15781 | Policies naming 15781 |
| 15782 | Policies naming 15782 |
| 15783 | Policies naming 15783 |
| 15786 | Policies naming 15786 |
| 15787 | Policies naming 15787 |
| 15788 | Policies naming 15788 |
| 15789 | Policies naming 15789 |
| 15792 | Policies naming 15792 |
| 15793 | Policies naming 15793 |
| 17000 | Policies naming 17000 |
| 17003 | Policies naming 17003 |
| 17004 | Policies naming 17004 |
| 17106 | Policies naming 17106 |
| 17107 | Policies naming 17107 |
| 17108 | Policies naming 17108 |
| 17110 | Policies naming 17110 |
| 17111 | Policies naming 17111 |
| 17250 | Policies naming 17250 |
| 17340 | Policies naming 17340 |
| 17360 | Policies naming 17360 |