Horizon Blue Cross and Blue Shield of New Jersey policies, page 3

Search Horizon Blue Cross and Blue Shield of New Jersey's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

834 public policies Substrate tracks for Horizon Blue Cross and Blue Shield of New Jersey, by title.

Horizon Blue Cross and Blue Shield of New Jersey policies
PolicyDetailsCodesSource
Brentuximab Vedotin (Adcetris)Commercial—Original policy ↗
Brexanolone (Zulresso)Commercial—Original policy ↗
Brexucabtagene autoleucel (Tecartus)Commercial—Original policy ↗
Bronchial ThermoplastyCommercial—Original policy ↗
Bronchial ValvesCommercial—Original policy ↗
Burosumab-twza (Crysvita)Commercial—Original policy ↗
Cabazitaxel (Jevtana)Commercial—Original policy ↗
Canakinumab (Ilaris)Commercial—Original policy ↗
Capsaicin 8% patch (Qutenza)Commercial—Original policy ↗
Cardiac Event DetectionEffective Feb 25, 2019 · Commercial, Medicaid6Original policy ↗
Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient SettingCommercial, Medicaid—Original policy ↗
Cardiac Rehabilitation in the Outpatient SettingCommercial, Medicaid—Original policy ↗
Cardiovascular Implant Device Monitoring ServicesEffective Feb 25, 2019 · Commercial, Medicaid8Original policy ↗
Cardiovascular Risk PanelsCommercial—Original policy ↗
Carfilzomib (Kyprolis)Commercial—Original policy ↗
Carrier Screening for Genetic DiseasesEffective Aug 1, 2017 · Commercial, Medicaid2Original policy ↗
Casting, Strapping and SplintsEffective Oct 15, 2020 · Commercial, Medicaid5Original policy ↗
Cemiplimab-rwlc (Libtayo)Commercial—Original policy ↗
Cerebrospinal Fluid and Urinary Biomarkers of Alzheimer DiseaseEffective Oct 14, 2019 · Commercial—Original policy ↗
Cerliponase Alfa (Brineura)Commercial—Original policy ↗
Certolizumab Pegol (Cimzia)Commercial—Original policy ↗
Chelation Therapy for Off-Label UsesCommercial, Medicaid—Original policy ↗
Chemical PeelsCommercial, Medicaid—Original policy ↗
ChemonucleolysisCommercial, Medicaid—Original policy ↗
Chiropractic Review PolicyCommercial, Medicaid2Original policy ↗
Chromoendoscopy as an Adjunct to ColonoscopyCommercial, Medicaid—Original policy ↗
Chromosomal Microarray Analysis for the Evaluation of Pregnancy LossCommercial, Medicaid—Original policy ↗
Chronic Intermittent Intravenous Insulin Therapy (CIIIT)Effective Jan 26, 2019 · Commercial, Medicaid—Original policy ↗
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)Commercial, Medicaid—Original policy ↗
Circulating Tumor DNA for Management of Non-Small-Cell-Lung Cancer (Liquid Biopsy)Commercial—Original policy ↗
Claim Editing PoliciesCommercial—Original policy ↗
Claim Editing PolicyEffective Feb 1, 2008 · Commercial, Medicaid—Original policy ↗
Claims Requiring Additional DocumentationEffective Oct 1, 2019 · Commercial, Medicaid—Original policy ↗
ClaimsXten Editing RulesEffective Dec 10, 2010 · Commercial, Medicaid—Original policy ↗
Clolar (Clofarabine)Commercial—Original policy ↗
Closure Devices for Patent Foramen Ovale and Atrial Septal DefectsCommercial, Medicaid—Original policy ↗
Co-Surgeon ReimbursementEffective Mar 19, 2009 · Commercial—Original policy ↗
Cochlear ImplantationCommercial, Medicaid—Original policy ↗
Cognitive RehabilitationCommercial—Original policy ↗
Collaborative Care Management ServicesEffective Dec 1, 2021 · Commercial5Original policy ↗
Colon HydrotherapyCommercial, Medicaid—Original policy ↗
Colonoscopy with Modifier 59Commercial—Original policy ↗
Colorectal Cancer ScreeningCommercial, Medicaid—Original policy ↗
Composite Tissue Allotransplantation of the Hand and FaceCommercial, Medicaid—Original policy ↗
Compounded Medications and Compounding KitsCommercial—Original policy ↗
Comprehensive Programs for the Management of Autism Spectrum DisordersCommercial, Medicaid—Original policy ↗
Compression StockingsCommercial, Medicaid11Original policy ↗
Computer Assisted Surgical ProceduresEffective Jun 1, 2020 · Commercial, Medicaid8Original policy ↗
Computer-Assisted Navigation for Orthopedic ProcedureCommercial—Original policy ↗
Computerized 2-Lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery DiseaseCommercial, Medicaid—Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.