Blue Cross and Blue Shield of Texas policy
Implantable Cardioverter Defibrillators
Implantable Cardioverter Defibrillators is a public Blue Cross and Blue Shield of Texas policy (policy SUR707.003, effective Dec 15, 2025). It lists 59 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR707.003
- 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. Open official prior authorization lists to check the member’s product.
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list