79403 prior authorization | Anthem Blue Cross and Blue Shield Virginia
79403, Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 79403
- Description
- Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization