21146 prior authorization | Anthem Blue Cross and Blue Shield Virginia
21146, Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 21146
- Description
- Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 12 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization