57280 prior authorization | Anthem Blue Cross and Blue Shield Virginia

57280: Colpopexy, Abdominal Approach. Imported Anthem Blue Cross and Blue Shield Virginia PPO source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

Code

57280

Description

Colpopexy, Abdominal Approach

Source

Virginia PPO standard precertification/prior authorization requirements, Pg 28 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization