Blue Cross and Blue Shield of Texas policy
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders is a public Blue Cross and Blue Shield of Texas policy (policy SUR702.016, effective Jan 1, 2026). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR702.016
- Effective
- Jan 1, 2026
- 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.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 96365 | Policies naming 96365 |
| 96366 | Policies naming 96366 |
| 96374 | Policies naming 96374 |
| J2001 | Policies naming J2001 |
| J2002 | Policies naming J2002 |
| J2003 | Policies naming J2003 |
| J2004 | Policies naming J2004 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list