84112 prior authorization | Anthem Blue Cross and Blue Shield Virginia
84112, Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), quali, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 84112
- Description
- Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), quali
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 42 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization