43773 prior authorization | Anthem Blue Cross and Blue Shield Virginia

43773, Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device c, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 43773
Description: Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device c
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 21 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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