90876 prior authorization | Anthem Blue Cross and Blue Shield Virginia
90876, Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior m, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 90876
- Description
- Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior m
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 57 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization