Blue Cross Blue Shield Minnesota policy
Bariatric Surgery
Bariatric Surgery is a public Blue Cross Blue Shield Minnesota policy (policy IV-19, effective Nov 3, 2025). It lists 23 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-19
- Effective
- Nov 3, 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 |
|---|---|
| 0813T | Policies naming 0813T |
| 43290 | Policies naming 43290 |
| 43291 | Policies naming 43291 |
| 43644 | Policies naming 43644 |
| 43645 | Policies naming 43645 |
| 43659 | Policies naming 43659 |
| 43770 | Policies naming 43770 |
| 43771 | Policies naming 43771 |
| 43772 | Policies naming 43772 |
| 43773 | Policies naming 43773 |
| 43774 | Policies naming 43774 |
| 43775 | Policies naming 43775 |
| 43842 | Policies naming 43842 |
| 43843 | Policies naming 43843 |
| 43845 | Policies naming 43845 |
| 43846 | Policies naming 43846 |
| 43847 | Policies naming 43847 |
| 43848 | Policies naming 43848 |
| 43886 | Policies naming 43886 |
| 43887 | Policies naming 43887 |
| 43888 | Policies naming 43888 |
| 43889 | Policies naming 43889 |
| 43999 | Policies naming 43999 |