96904 prior authorization | Anthem Blue Cross and Blue Shield Nevada

96904, Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history o, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 96904
Description: Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history o
Source: Nevada Prior Authorization List, Pg 106 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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