95811 prior authorization | Anthem Blue Cross and Blue Shield Virginia
95811, Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel v, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 95811
- Description
- Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel v
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 58 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization