Blue Cross Blue Shield Oklahoma policy
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders is a public Blue Cross Blue Shield Oklahoma policy (policy SUR702.016, effective Jan 1, 2026). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Policy number
- SUR702.016
- Effective
- Jan 1, 2026
- 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 Blue Shield Oklahoma policies |
|---|---|
| 96365 | Policies naming 96365 |
| 96366 | Policies naming 96366 |
| 96374 | Policies naming 96374 |
| J2001 | Policies naming J2001 |
| J2002 | Policies naming J2002 |
| J2003 | Policies naming J2003 |
| J2004 | Policies naming J2004 |
All Blue Cross Blue Shield Oklahoma policies · Blue Cross Blue Shield Oklahoma prior authorization CPT list