87903 prior authorization | Anthem Blue Cross and Blue Shield Virginia

87903, Infect Agnt Phenotyp Analys (Dna/Rna) W/Drug Resist Tissu Cult Analys, Hiv 1; 1-10 Drugs, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 87903
Description: Infect Agnt Phenotyp Analys (Dna/Rna) W/Drug Resist Tissu Cult Analys, Hiv 1; 1-10 Drugs
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 54 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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