Anthem Blue Cross and Blue Shield (Anthem) and our affiliate HealthKeepers, Inc. are committed to reducing costs while improving health outcomes. To that end, effective August 1, 2021, Anthem  and  HealthKeepers, Inc. will be implementing CG-SURG-59 Vena Cava Filters for our commercial business. 


NOTE: This excludes Anthem HealthKeepers Plus (Medicaid), Medicare Advantage, the Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan, and the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP).  


The CPT codes associated with this clinical UM guideline are 37191, 37192, and 37193.


The clinical UM guideline is available for review on our website at



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May 2021 Anthem Provider News - Virginia