21742 prior authorization | Anthem Blue Cross and Blue Shield Virginia
21742, Reconstructive Repair, Pectus Excavatum/Carinatum; Minimal Invasive Approach, W/O Thoracoscopy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 21742
- Description
- Reconstructive Repair, Pectus Excavatum/Carinatum; Minimal Invasive Approach, W/O Thoracoscopy
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 13 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization