Commercial Medical Policies for
Blue Cross and Blue Shield of Louisiana
and HMO Louisiana, Inc.

Louisiana Blue Medical Policy Coverage Guidelines

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Blue Cross Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc. (collectively referred to as "Louisiana Blue") have developed these medical policies to serve as general coverage guidelines for determining if a particular treatment, procedure or other service may be considered as a covered benefit. These medical policies are provided on this website for informational purposes only. These highly technical and highly complex policies do not constitute plan authorization or approval and do not indicate whether a particular treatment, procedure, or other service is covered for a particular individual or plan. These medical policies do not constitute medical advice or medical care. The treating health care provider is solely responsible for diagnosis, treatment and medical advice and you should discuss all information with your treating provider.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with BCBSLA and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate if you violate its terms or if terminated by Louisiana Blue. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".