95810 prior authorization | Anthem Blue Cross and Blue Shield Virginia

95810, Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 95810
Description: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 58 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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