21122 prior authorization | Anthem Blue Cross and Blue Shield Virginia

21122, Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 21122
Description: Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin
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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