Blue Cross Blue Shield Minnesota policy
Breast Implant, Removal or Replacement
Breast Implant, Removal or Replacement is a public Blue Cross Blue Shield Minnesota policy (policy IV-14, effective Sep 28, 2026). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-14
- Effective
- Sep 28, 2026
- 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 |
|---|---|
| 11970 | Policies naming 11970 |
| 19325 | Policies naming 19325 |
| 19328 | Policies naming 19328 |
| 19330 | Policies naming 19330 |
| 19340 | Policies naming 19340 |
| 19342 | Policies naming 19342 |
| 19396 | Policies naming 19396 |
| C1789 | Policies naming C1789 |
| L8600 | Policies naming L8600 |