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Optimum Healthcare policies

Search Optimum Healthcare'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.

28 policies name 83986, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Optimum Healthcare policies
PolicyDetailsCodesSource
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Oct 1, 2021 · Commercial · NV69Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Jul 1, 2021 · Commercial · NV69Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Jul 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Oct 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Nov 1, 2022 · Commercial · NV70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Dec 1, 2022 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Mar 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility Manualv2.080124 · Effective Nov 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Dec 1, 2023 · Commercial · NV71Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualNVBCBS-CM-PM-068896-24 · Effective Jan 1, 2025 · Commercial · NV80Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Jan 1, 2026 · Commercial · NV80Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Oct 1, 2026 · Commercial · NV80Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Nov 1, 2020 · Commercial · CO81Original policy ↗
Colorado Provider and Facility ManualCOBCBS-CM-PM-091234-25 · Effective Jan 1, 2026 · Commercial · CO81Original policy ↗
Colorado Provider and Facility ManualCOBCBS-CM-PM-068897-24 · Effective Jan 1, 2025 · Commercial · CO81Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Nov 1, 2020 · Commercial · NV83Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Feb 1, 2019 · Commercial · CO97Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Feb 1, 2019 · Commercial · NV99Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Jul 1, 2017 · Commercial · CO104Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Jul 1, 2017 · Commercial · NV104Original policy ↗
Modifiers 59 and XE, XP, XS, & XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 1, 2025 · Commercial · VA113Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Aug 1, 2016 · Commercial · CO116Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Jul 1, 2026 · Commercial · CA130Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI187Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Dec 1, 2025 · Commercial · VA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jul 1, 2026 · Commercial · CA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jan 1, 2027 · Commercial · CA360Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jun 24, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI390Original 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.

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