19367 prior authorization | Anthem Blue Cross and Blue Shield Virginia
19367, Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 19367
- Description
- Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 12 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization