21073 prior authorization | Anthem Blue Cross and Blue Shield Virginia

21073, Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 21073
Description: Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 12 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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