53453 prior authorization | Anthem Blue Cross and Blue Shield Virginia
53453, Periurethral transperineal adjustable balloon continence device; removal, each balloon, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 53453
- Description
- Periurethral transperineal adjustable balloon continence device; removal, each balloon
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization