21073 prior authorization | Anthem Blue Cross and Blue Shield Nevada

21073, Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 21073
Description: Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor
Source: Nevada Prior Authorization List, Pg 12 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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