Blue Cross and Blue Shield of Texas policies
Search Blue Cross and Blue Shield of Texas's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
Checking prior authorization for A4595? Open Blue Cross and Blue Shield of Texas’s official lists and confirm the member’s product there.
5 policies name A4595, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Functional Neuromuscular Electrical Stimulation | MED201.033 · Effective Aug 1, 2025 · Commercial, Medicaid | 7 | Original policy ↗ |
| Electrostimulation and Electromagnetic Therapy for Treating Wounds | MED201.027 · Commercial, Medicaid | 12 | Original policy ↗ |
| Transcutaneous Electrical Stimulation (TENS) and Transcutaneous Afferent Patterned Stimulation | MED201.040 · Effective Jun 15, 2026 · Commercial, Medicaid | 13 | Original policy ↗ |
| Physical Medicine and Rehabilitation Services | CPCP040 · Effective Nov 7, 2025 · Commercial, Medicaid · TX | 22 | Original policy ↗ |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | MED205.042 · Commercial, Medicaid | 36 | Original policy ↗ |
Back to Blue Cross and Blue Shield of Texas · Blue Cross and Blue Shield of Texas prior authorization CPT list