0255U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0255U, Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of c, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0255U
- Description
- Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of c
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 4 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization