Anthem · PayerPolicy · ANTHEM-SURG.00144
Summary of the payer’s published policy. Not a coverage determination — confirm with Anthem before submitting.
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Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 00144 | CPT | Not covered |
| 64405 | CPT | Not covered |
| 64450 | CPT | Not covered |
| 64505 | CPT | Not covered |
| G43.001 | ICD10CM | Not covered |
| G43.E19 | ICD10CM | Not covered |
| G44.001 | ICD10CM | Not covered |
| G44.89 | ICD10CM | Not covered |
| G97.1 | ICD10CM | Not covered |
| M54.81 | ICD10CM | Not covered |
| R51.0 | ICD10CM | Not covered |
| R51.9 | ICD10CM | Not covered |