80415 prior authorization | Anthem Blue Cross and Blue Shield Virginia
80415, Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 80415
- Description
- Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 31 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization