80047 prior authorization | Anthem Blue Cross and Blue Shield Virginia
80047, Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8256, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 80047
- Description
- Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8256
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization