54416 prior authorization | Anthem Blue Cross and Blue Shield Virginia
54416, Removal & Replacement, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 54416
- Description
- Removal & Replacement, Non-Inflatable (Semi-Rigid)/Inflatable (Self-Contained) Penile Prosthesis
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization