95783 prior authorization | Anthem Blue Cross and Blue Shield Virginia
95783, Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 95783
- Description
- Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 58 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization