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CG-SURG-99 Panniculectomy and Abdominoplasty

    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_d091801.html
    Abdominoplasty, liposuction. When services are Not Medically Necessary or Cosmetic and Not Medically Necessary: For the following procedure codes, or when the code describes a procedure designated in the Clinical Indications section as not …

Provider Medical Policies | Anthem.com

    https://www.anthem.com/provider/policies/clinical-guidelines/
    Medical Policies & Clinical UM Guidelines. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and …

CG-SURG-83 Bariatric Surgery and Other Treatments …

    https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_d085821.html
    Gastric bypass and gastric restrictive procedures are considered medically necessary when all of the following criteria are met: Individual is age 18 years or older; …

ANC.00009 Cosmetic and Reconstructive Services of …

    https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a050277.html
    Rationale. Concepts of Medical Necessity, Reconstructive and Cosmetic. The coverage eligibility of medical and surgical therapies to treat musculoskeletal …

Provider Policies, Guidelines and Manuals | Anthem.com

    https://www.anthem.com/provider/policies/
    Policies, Guidelines & Manuals. We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing …

Medical policy and clinical guideline updates available on …

    https://providernews.anthem.com/connecticut/article/medical-policy-and-clinical-guideline-updates-available-on-anthemcom-1
    Medical policy and clinical guideline updates available on anthem.com. The following new and revised medical policies and clinical guidelines were endorsed at the …

CG-SURG-01 Colonoscopy - Anthem

    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c119565.html
    When individual has undergone endoscopic resection of a visible dysplastic lesion, the next surveillance colonoscopy should occur at 3–6 months. (17, 20) …

SURG.00023 Breast Procedures; including …

    https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a053315.html
    Note: The Women’s Health and Cancer Rights Act of 1998 (WHCRA) is federal legislation that provides that any individual, with insurance coverage who is …

ANC.00008 Cosmetic and Reconstructive Services of …

    https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a050276.html
    The coverage eligibility of medical and surgical therapies to treat head and neck abnormalities is often based on a determination of whether the abnormality is …

Medical Policies and Clinical Utilization Management …

    https://providers.anthem.com/docs/gpp/IN_CAID_feb21MedpoliciesUMG.pdf
    Medical Policies On February 11, 2021, the Medical Policy and Technology Assessment Committee (MPTAC) approved the following Medical Policies applicable to Anthem …



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