87625 prior authorization | Anthem Blue Cross and Blue Shield Virginia
87625, Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 87625
- Description
- Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 53 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization