Anthem · PayerPolicy · ANTHEM-SURG.00157
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 |
|---|---|---|
| 00157 | CPT | Not covered |
| 30117 | CPT | Not covered |
| 30999 | CPT | Not covered |
| 31242 | CPT | Not covered |
| 31243 | CPT | Not covered |
| C9771 | HCPCS | Not covered |
| J30.0 | ICD10CM | Not covered |
| J30.9 | ICD10CM | Not covered |
| J31.0 | ICD10CM | Not covered |
| J31.2 | ICD10CM | Not covered |
| R09.81 | ICD10CM | Not covered |
| R09.82 | ICD10CM | Not covered |