21183 prior authorization | Anthem Blue Cross and Blue Shield Virginia
21183, Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 21183
- Description
- Reconstruction, Orbit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 13 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization