Blue Cross and Blue Shield of Minnesota policies
Search Blue Cross and Blue Shield of Minnesota's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
2 policies name 53899, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence | IV-136 · Effective Dec 1, 2025 · Commercial, Medicaid | 3 | Original policy ↗ |
| Pelvic Floor Stimulation as a Treatment of Urinary Incontinence | IV-134 · Effective Dec 1, 2025 · Commercial, Medicaid | 4 | Original policy ↗ |