Optimum Healthcare policy
Facility Guidelines for Claims Related to Professional Services – Facility
Facility Guidelines for Claims Related to Professional Services – Facility is a public Optimum Healthcare policy (policy C-15004, effective Apr 1, 2026). It lists 10 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Optimum Healthcare
- Policy number
- C-15004
- Effective
- Apr 1, 2026
- 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.
| Code | Other Optimum Healthcare policies |
|---|---|
| 99202 | Policies naming 99202 |
| 99281 | Policies naming 99281 |
| 99285 | Policies naming 99285 |
| 99401 | Policies naming 99401 |
| 99404 | Policies naming 99404 |
| 99411 | Policies naming 99411 |
| 99412 | Policies naming 99412 |
| 99499 | Policies naming 99499 |
| G0380 | Policies naming G0380 |
| G0384 | Policies naming G0384 |