23474 prior authorization | Anthem Blue Cross and Blue Shield Virginia
23474, Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 23474
- Description
- Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 15 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization