66174 prior authorization | Anthem Blue Cross and Blue Shield Virginia

66174, Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 66174
Description: Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 27 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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