Optimum Healthcare policy

Anthem Blue Cross and Blue Shield Virginia Facility Provider Manual

Anthem Blue Cross and Blue Shield Virginia Facility Provider Manual is a public Optimum Healthcare policy (effective Jul 1, 2021). It lists 93 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Optimum Healthcare
Effective
Jul 1, 2021
Line of business
Commercial
States
VA
Source
www.anthem.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Optimum Healthcare policies
0362TPolicies naming 0362T
0373TPolicies naming 0373T
10157Policies naming 10157
10160Policies naming 10160
10164Policies naming 10164
10183Policies naming 10183
10190Policies naming 10190
11348Policies naming 11348
11369Policies naming 11369
11383Policies naming 11383
11450Policies naming 11450
11493Policies naming 11493
11535Policies naming 11535
12345Policies naming 12345
18776Policies naming 18776
23230Policies naming 23230
23279Policies naming 23279
27401Policies naming 27401
29299Policies naming 29299
29549Policies naming 29549
29762Policies naming 29762
30954Policies naming 30954
36415Policies naming 36415
36416Policies naming 36416
42346Policies naming 42346
42348Policies naming 42348
44135Policies naming 44135
44193Policies naming 44193
46239Policies naming 46239
46240Policies naming 46240
46241Policies naming 46241
46264Policies naming 46264
47420Policies naming 47420
47519Policies naming 47519
48765Policies naming 48765
48768Policies naming 48768
51847Policies naming 51847
51848Policies naming 51848
59400Policies naming 59400
59410Policies naming 59410
59510Policies naming 59510
59515Policies naming 59515
59610Policies naming 59610
59612Policies naming 59612
59614Policies naming 59614
59618Policies naming 59618
59620Policies naming 59620
59622Policies naming 59622
61146Policies naming 61146
62387Policies naming 62387
66149Policies naming 66149
73651Policies naming 73651
75310Policies naming 75310
90801Policies naming 90801
90867Policies naming 90867
90869Policies naming 90869
90899Policies naming 90899
94760Policies naming 94760
94761Policies naming 94761
94762Policies naming 94762
96101Policies naming 96101
96119Policies naming 96119
96365Policies naming 96365
96366Policies naming 96366
96368Policies naming 96368
96374Policies naming 96374
96379Policies naming 96379
97032Policies naming 97032
97035Policies naming 97035
97036Policies naming 97036
97110Policies naming 97110
97124Policies naming 97124
97140Policies naming 97140
97158Policies naming 97158
97530Policies naming 97530
97542Policies naming 97542
97760Policies naming 97760
97762Policies naming 97762
99001Policies naming 99001
99281Policies naming 99281
99282Policies naming 99282
99283Policies naming 99283
99284Policies naming 99284
99285Policies naming 99285
G0001Policies naming G0001
G0380Policies naming G0380
G0381Policies naming G0381
G0382Policies naming G0382
G0383Policies naming G0383
G0384Policies naming G0384
H0023Policies naming H0023
J0610Policies naming J0610
S2900Policies naming S2900

All Optimum Healthcare policies

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.