54411 prior authorization | Anthem Blue Cross and Blue Shield Virginia
54411, Removal & Replacement, Multi-Component Inflatable Penile Prosthesis, Infected, W/ Irrig & Debride, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 54411
- Description
- Removal & Replacement, Multi-Component Inflatable Penile Prosthesis, Infected, W/ Irrig & Debride
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization