0416T prior authorization | Anthem Blue Cross and Blue Shield Virginia
0416T, Relocation of skin pocket for implanted cardiac contractility modulation pulse generator, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0416T
- Description
- Relocation of skin pocket for implanted cardiac contractility modulation pulse generator
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization