Effective August 1, 2019, the following MCG care guideline 23rd edition customizations will be implemented.


  • Left Atrial Appendage Closure, Percutaneous (W0157) - customized to refer to SURG.00032 Transcatheter Closure of Patent Foramen Ovale and Left Atrial Appendage for Stroke Prevention


  • Spine, Scoliosis, Posterior Instrumentation, Pediatric (W0156) - customized to refer to Musculoskeletal Program Clinical Appropriateness Guidelines, Level of Care Guidelines and Preoperative Admission Guidelines


To see a more detailed summary of customizations, access the Customization to MCG Care Guidelines on the Web.


For questions, please contact the provider service number on the back of the member's ID card.

Featured In:
May 2019 Anthem Provider Newsletter - Virginia