0100T prior authorization | Anthem Blue Cross and Blue Shield Virginia

0100T, Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0100T
Description: Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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