14041 prior authorization | Anthem Blue Cross and Blue Shield Virginia

14041, Adjacent Tissue Transfer, Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet;10.1-30.0sqcm, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 14041
Description: Adjacent Tissue Transfer, Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet;10.1-30.0sqcm
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 10 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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