20938 prior authorization | Anthem Blue Cross and Blue Shield Virginia
20938, Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separat, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 20938
- Description
- Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separat
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 12 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization