Blue Cross and Blue Shield of Texas policy
Blue Choice PPOSM and Blue High Performance Network® Provider Manual
Blue Choice PPOSM and Blue High Performance Network® Provider Manual is a public Blue Cross and Blue Shield of Texas policy. It lists 16 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Line of business
- Commercial, Medicaid
- States
- TX
- Source
- www.bcbstx.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 11042 | Policies naming 11042 |
| 30520 | Policies naming 30520 |
| 80053 | Policies naming 80053 |
| 80061 | Policies naming 80061 |
| 95806 | Policies naming 95806 |
| 95811 | Policies naming 95811 |
| 99211 | Policies naming 99211 |
| 99212 | Policies naming 99212 |
| 99601 | Policies naming 99601 |
| 99602 | Policies naming 99602 |
| A6250 | Policies naming A6250 |
| J1205 | Policies naming J1205 |
| J1950 | Policies naming J1950 |
| J3490 | Policies naming J3490 |
| J9217 | Policies naming J9217 |
| S9061 | Policies naming S9061 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list