Optimum Healthcare policy

Anthem Blue Cross Facility and Professional Provider Manual – 01/01/20

Anthem Blue Cross Facility and Professional Provider Manual – 01/01/20 is a public Optimum Healthcare policy (effective Jan 1, 2020). It lists 66 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Optimum Healthcare
Effective
Jan 1, 2020
Line of business
Commercial
States
CA
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
00004Policies naming 00004
00005Policies naming 00005
10133Policies naming 10133
12345Policies naming 12345
21215Policies naming 21215
23330Policies naming 23330
30348Policies naming 30348
36415Policies naming 36415
36416Policies naming 36416
44135Policies naming 44135
44193Policies naming 44193
45040Policies naming 45040
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
60007Policies naming 60007
60197Policies naming 60197
70000Policies naming 70000
70022Policies naming 70022
73651Policies naming 73651
90013Policies naming 90013
90060Policies naming 90060
90804Policies naming 90804
90805Policies naming 90805
90806Policies naming 90806
90807Policies naming 90807
90847Policies naming 90847
90853Policies naming 90853
90862Policies naming 90862
91365Policies naming 91365
91367Policies naming 91367
91470Policies naming 91470
92123Policies naming 92123
92160Policies naming 92160
92193Policies naming 92193
92825Policies naming 92825
94760Policies naming 94760
94761Policies naming 94761
94762Policies naming 94762
95817Policies naming 95817
95927Policies naming 95927
96365Policies naming 96365
96366Policies naming 96366
96368Policies naming 96368
96374Policies naming 96374
96379Policies naming 96379
99001Policies naming 99001
G0001Policies naming G0001
G0406Policies naming G0406
G0407Policies naming G0407
G0408Policies naming G0408
G0425Policies naming G0425
G0426Policies naming G0426
G0427Policies naming G0427
G0459Policies naming G0459
J0610Policies naming J0610
Q3014Policies naming Q3014
S2900Policies naming S2900
T1014Policies naming T1014

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.