| Transitional Care Management - Professional | C-22002 · Effective Dec 1, 2023 · Commercial · VA | 2 | Original policy ↗ |
| Transitional Care Management – Professional | C-22002 · Effective Apr 27, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 2 | Original policy ↗ |
| Transitional Care Management – Professional | C-22002 · Effective Jan 1, 2026 · Commercial · CA | 2 | Original policy ↗ |
| Transportation Services: Ambulance and Non-Emergent Transport | G-07036 · Effective May 22, 2024 · Medicaid · OH | — | Original policy ↗ |
| Transportation Services: Ambulance and Non-Emergent Transport | G-07036 · Effective May 22, 2024 · Medicaid · NV | — | Original policy ↗ |
| Trauma Activation - Facility | C-24003 · Effective Mar 1, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NH, NV, OH, WI | 3 | Original policy ↗ |
| Trauma Activation - Facility | C-24003 · Effective Apr 1, 2026 · Commercial · CA | 3 | Original policy ↗ |
| Treatment Rooms - Facility | C-20005 · Effective Jul 1, 2026 · Commercial · CO | 1 | Original policy ↗ |
| Treatment Rooms - Facility | C-20005 · Effective Jul 1, 2026 · Commercial · CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 1 | Original policy ↗ |
| Treatment Rooms - Facility | C-20005 · Effective Jan 1, 2027 · Commercial · CA | 1 | Original policy ↗ |
| Treatment Rooms with Office Evaluation and Management Services - Facility | C-20005 · Effective Apr 1, 2026 · Commercial · CA | 1 | Original policy ↗ |
| Unlisted or Miscellaneous Codes | G-06004 · Effective Nov 4, 2024 · Medicaid · OH | — | Original policy ↗ |
| Unlisted or Miscellaneous Codes | G-06004 · Effective Nov 4, 2024 · Medicaid · NV | — | Original policy ↗ |
| Updates Regarding Physician Assistants as Primary Medical Providers | AINPEC-1506-17 · Medicaid · IN | 31 | Original policy ↗ |
| Upper Extremity Myoelectric Orthoses | OR-PR.00005 · Commercial | 5 | Original policy ↗ |
| Urgent Care Options (Northern Nevada) | Commercial · NV | — | Original policy ↗ |
| Urgent Care Options (Southern Nevada) | Commercial · NV | — | Original policy ↗ |
| Use of a Non-Participating Provider Advance Patient Notice Policy | Effective Apr 1, 2021 · Commercial · CT | — | Original policy ↗ |
| Uterine Fibroid Ablation: Laparoscopic, Percutaneous or Transcervical Image Guided Techniques | SURG.00077 · Commercial | 4 | Original policy ↗ |
| Vaccinations - Adolescent | Commercial · CA | — | Original policy ↗ |
| Vaccinations - Adolescent | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Vaccines for Children (VFC) Program | G-05022 · Effective Nov 4, 2024 · Medicaid · OH | — | Original policy ↗ |
| Vaccines for Children (VFC) Program | G-05022 · Effective Nov 4, 2024 · Medicaid · NV | — | Original policy ↗ |
| Vanderbilt ADHD Diagnostic Parent Rating Scale | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| View more information about balance billing. | Commercial · VA | — | Original policy ↗ |
| Virginia Affiliate Listing | Commercial, Medicaid · VA | — | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Sep 21, 2017 · Commercial · VA | 32 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Apr 1, 2016 · Commercial · VA | 18 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective May 1, 2017 · Commercial · VA | 32 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Feb 1, 2018 · Commercial · VA | 32 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Apr 1, 2018 · Commercial · VA | 33 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Oct 23, 2019 · Commercial · VA | 58 | Original policy ↗ |
| Virginia Facility Provider Manual | VABCBS-CM-PM-086206-25 · Effective Aug 1, 2025 · Commercial · VA | 90 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Aug 1, 2015 · Commercial · VA | 18 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective May 1, 2019 · Commercial · VA | 58 | Original policy ↗ |
| VIRGINIA FACILITY PROVIDER MANUAL | Effective Aug 23, 2019 · Commercial · VA | 58 | Original policy ↗ |
| Virginia Facility Provider Manual Revised August 1, 2024 | VABCBS-CM-PM-061543-24 v2A.08152024 · Effective Aug 1, 2024 · Commercial · VA | 90 | Original policy ↗ |
| Virginia Professional Provider Manual | Effective Sep 24, 2020 · Commercial · VA | 113 | Original policy ↗ |
| Virginia Professional Provider Manual | VABCBS-CM-PM-072981-24 · Effective Mar 1, 2025 · Commercial · VA | 143 | Original policy ↗ |
| Virginia Professional Provider Manual | Effective Oct 1, 2024 · Commercial · VA | 141 | Original policy ↗ |
| Virginia Professional Provider Manual | Effective Dec 1, 2023 · Commercial · VA | 141 | Original policy ↗ |
| Virginia Professional Provider Manual | VABCBS-CM-PM-086207-25 · Effective Dec 1, 2025 · Commercial · VA | 139 | Original policy ↗ |
| Virtual Visits - Professional and Facility | C-08002 · Effective Jul 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 1 | Original policy ↗ |
| Virtual Visits - Professional and Facility | C-08002 · Effective Mar 1, 2025 · Commercial · VA | — | Original policy ↗ |
| Virtual Visits - Professional and Facility | C-08002 · Effective Jul 1, 2026 · Commercial · CA | 1 | Original policy ↗ |
| Waiver for Non Covered Service – Instructions | Commercial · NH | — | Original policy ↗ |
| Waiver Form Instructions | Commercial · NH | — | Original policy ↗ |
| What Beneficiary Notice Form to Use | CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | CG-MED-70 · Commercial | 5 | Original policy ↗ |
| Wisconsin Provider Manual | WIBCBS-CM-PM-082441-25 · Effective Sep 1, 2025 · Commercial · WI | 24 | Original policy ↗ |
