Blue Cross Blue Shield Minnesota policy
Anesthesia Services for Dental Procedures
Anesthesia Services for Dental Procedures is a public Blue Cross Blue Shield Minnesota policy (policy II-166, effective Dec 1, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- II-166
- Effective
- Dec 1, 2025
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross Blue Shield Minnesota policies |
|---|---|
| 00170 | Policies naming 00170 |
| 00172 | Policies naming 00172 |
| 00174 | Policies naming 00174 |
| 00176 | Policies naming 00176 |