Blue Cross and Blue Shield of Texas policy
Manipulation Under Anesthesia
Manipulation Under Anesthesia is a public Blue Cross and Blue Shield of Texas policy (policy THE803.016, effective Sep 15, 2026). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- THE803.016
- Effective
- Sep 15, 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 |
|---|---|
| 00640 | Policies naming 00640 |
| 21073 | Policies naming 21073 |
| 22505 | Policies naming 22505 |
| 23700 | Policies naming 23700 |
| 24300 | Policies naming 24300 |
| 26340 | Policies naming 26340 |
| 27275 | Policies naming 27275 |
| 27570 | Policies naming 27570 |
| 27860 | Policies naming 27860 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list