Blue Cross and Blue Shield of Texas policy
Surface Electromyography and Paraspinal Surface Electromyography to Evaluate and Monitor Back Pain
Surface Electromyography and Paraspinal Surface Electromyography to Evaluate and Monitor Back Pain is a public Blue Cross and Blue Shield of Texas policy (policy MED205.006, effective Oct 1, 2025). It lists 6 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- MED205.006
- Effective
- Oct 1, 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.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 95860 | Policies naming 95860 |
| 95872 | Policies naming 95872 |
| 95999 | Policies naming 95999 |
| 96002 | Policies naming 96002 |
| 97799 | Policies naming 97799 |
| S3900 | Policies naming S3900 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list