BCBS Illinois · PayerPolicy · BCBSIL-SUR704.011
Summary of the payer’s published policy. Not a coverage determination — confirm with BCBS Illinois before submitting.
Free account. Policy pages stay open to everyone.
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 |
|---|---|---|
| A2035 | HCPCS | Covered |
| Q4132 | HCPCS | Covered |
| Q4133 | HCPCS | Covered |
| Q4137 | HCPCS | Covered |
| Q4138 | HCPCS | Covered |
| Q4139 | HCPCS | Covered |
| Q4140 | HCPCS | Covered |
| Q4150 | HCPCS | Covered |
| Q4151 | HCPCS | Covered |
| Q4153 | HCPCS | Covered |
| Q4154 | HCPCS | Covered |
| Q4155 | HCPCS | Covered |
| Q4156 | HCPCS | Covered |
| Q4159 | HCPCS | Covered |
| Q4160 | HCPCS | Covered |
| Q4168 | HCPCS | Covered |
| Q4169 | HCPCS | Covered |
| Q4170 | HCPCS | Covered |
| Q4181 | HCPCS | Covered |
| Q4183 | HCPCS | Covered |
| Q4186 | HCPCS | Covered |
| Q4187 | HCPCS | Covered |
| Q4188 | HCPCS | Covered |
| Q4189 | HCPCS | Covered |
| Q4190 | HCPCS | Covered |
| Q4199 | HCPCS | Covered |
| Q4204 | HCPCS | Covered |
| Q4209 | HCPCS | Covered |
| Q4211 | HCPCS | Covered |
| Q4212 | HCPCS | Covered |
| Q4213 | HCPCS | Covered |
| Q4214 | HCPCS | Covered |
| Q4216 | HCPCS | Covered |
| Q4217 | HCPCS | Covered |
| Q4218 | HCPCS | Covered |
| Q4219 | HCPCS | Covered |
| Q4220 | HCPCS | Covered |
| Q4221 | HCPCS | Covered |
| Q4225 | HCPCS | Covered |
| Q4227 | HCPCS | Covered |
| Q4228 | HCPCS | Covered |
| Q4229 | HCPCS | Covered |
| Q4230 | HCPCS | Covered |
| Q4231 | HCPCS | Covered |
| Q4232 | HCPCS | Covered |
| Q4233 | HCPCS | Covered |
| Q4234 | HCPCS | Covered |
| Q4235 | HCPCS | Covered |
| Q4237 | HCPCS | Covered |
| Q4239 | HCPCS | Covered |
| Q4240 | HCPCS | Covered |
| Q4242 | HCPCS | Covered |
| Q4245 | HCPCS | Covered |
| Q4246 | HCPCS | Covered |
| Q4247 | HCPCS | Covered |
| Q4248 | HCPCS | Covered |
| Q4250 | HCPCS | Covered |
| Q4251 | HCPCS | Covered |
| Q4252 | HCPCS | Covered |
| Q4253 | HCPCS | Covered |
| Q4259 | HCPCS | Covered |
| Q4260 | HCPCS | Covered |
| Q4261 | HCPCS | Covered |
| Q4263 | HCPCS | Covered |
| Q4264 | HCPCS | Covered |
| Q4268 | HCPCS | Covered |
| Q4269 | HCPCS | Covered |
| Q4270 | HCPCS | Covered |
| Q4271 | HCPCS | Covered |
| Q4279 | HCPCS | Covered |
| Q4281 | HCPCS | Covered |
| Q4282 | HCPCS | Covered |
| Q4283 | HCPCS | Covered |
| Q4284 | HCPCS | Covered |
| Q4287 | HCPCS | Covered |
| Q4288 | HCPCS | Covered |
| Q4293 | HCPCS | Covered |
| Q4295 | HCPCS | Covered |
| Q4298 | HCPCS | Covered |
| Q4299 | HCPCS | Covered |
| Q4300 | HCPCS | Covered |
| Q4301 | HCPCS | Covered |
| Q4302 | HCPCS | Covered |
| Q4303 | HCPCS | Covered |
| Q4304 | HCPCS | Covered |
| Q4305 | HCPCS | Covered |
| Q4306 | HCPCS | Covered |
| Q4307 | HCPCS | Covered |
| Q4309 | HCPCS | Covered |
| Q4311 | HCPCS | Covered |
| Q4312 | HCPCS | Covered |
| Q4313 | HCPCS | Covered |
| Q4316 | HCPCS | Covered |
| Q4322 | HCPCS | Covered |
| Q4323 | HCPCS | Covered |
| Q4324 | HCPCS | Covered |
| Q4325 | HCPCS | Covered |
| Q4329 | HCPCS | Covered |
| Q4331 | HCPCS | Covered |
| Q4332 | HCPCS | Covered |
| Q4333 | HCPCS | Covered |
| Q4334 | HCPCS | Covered |
| Q4335 | HCPCS | Covered |
| Q4336 | HCPCS | Covered |
| Q4337 | HCPCS | Covered |
| Q4338 | HCPCS | Covered |
| Q4339 | HCPCS | Covered |
| Q4340 | HCPCS | Covered |
| Q4341 | HCPCS | Covered |
| Q4343 | HCPCS | Covered |
| Q4355 | HCPCS | Covered |
| Q4356 | HCPCS | Covered |
| Q4357 | HCPCS | Covered |
| Q4358 | HCPCS | Covered |
| Q4359 | HCPCS | Covered |
| Q4360 | HCPCS | Covered |
| Q4362 | HCPCS | Covered |
| Q4363 | HCPCS | Covered |
| Q4364 | HCPCS | Covered |
| Q4365 | HCPCS | Covered |
| Q4367 | HCPCS | Covered |
| Q4368 | HCPCS | Covered |
| Q4369 | HCPCS | Covered |
| Q4370 | HCPCS | Covered |
| Q4372 | HCPCS | Covered |
| Q4380 | HCPCS | Covered |
| Q4382 | HCPCS | Covered |
| Q4383 | HCPCS | Covered |
| Q4384 | HCPCS | Covered |
| Q4385 | HCPCS | Covered |
| Q4386 | HCPCS | Covered |
| Q4390 | HCPCS | Covered |
| Q4392 | HCPCS | Covered |
| Q4393 | HCPCS | Covered |
| Q4394 | HCPCS | Covered |
| Q4395 | HCPCS | Covered |
| Q4397 | HCPCS | Covered |