Anthem Criteria For Cpt Code 30140

In recent times, anthem criteria for cpt code 30140 has become increasingly relevant in various contexts. CG-SURG-18 Septoplasty - Anthem Blue Cross Blue Shield. Medically necessary criteria for the rhinoplasty component of the combined procedure and relevant coding instructions can be found in ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck. REIMBURSEMENT POLICY MEDICAL DEPARTMENT. Anthem considers certain services and supplies to be ineligible for separate reimbursement when reported by a professional provider.

These services and/or supplies may be reported with a primary service or as a stand-alone service. CPT® Code30140 - Excision Procedures on the Nose - AAPC. The Current Procedural Terminology (CPT ®) code 30140 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Nose. Clinical UM Guideline - Anthem Blue Cross Blue Shield. Well-designed, randomized studies are necessary to define appropriate criteria for OSA surgical procedures.

From another angle, it has been postulated that increased nasal resistance may contribute to, or be causative in, sleep related breathing disorders, such as OSA. CPT Code 30140: What It Is, Modifiers, Reimbursement. CPT code 30140 is reimbursed by Medicare, but the reimbursement is subject to specific conditions and guidelines.

Additionally, the Medicare Physician Fee Schedule (MPFS) determines the payment rates for services covered under Medicare Part B, including those associated with CPT code 30140. Provider Medical Policy Search Results | AnthemBlueCross.com. We have developed medical policies that serve as one of the sets of guidelines for coverage decisions.

Benefit plans vary in coverage and some plans may not provide coverage for certain services discussed in the medical policies. From another angle, provider Medical Policies | AnthemBlueCross.com. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Another key aspect involves, reimbursement Policies | IN Provider - Anthem. Services should be billed with Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System (HCPCS) codes, and/or revenue codes. These codes denote the services and/or procedures performed and, when billed, must be fully supported in the medical record and/or office notes.

These guidelines address the medical necessity of existing, generally accepted services, technologies and drugs. Because local practice patterns, claims systems and benefit designs vary, a local plan may choose whether to implement a particular clinical UM guideline. Reimbursement Policies | Provider| Individual & Commercial Plans | Anthem. These policies serve as a guide to assist you in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a member’s Anthem Blue Cross and Blue Shield benefit plan.