43774 prior authorization | Anthem Blue Cross and Blue Shield Virginia
43774, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 43774
- Description
- Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 21 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization