96904 prior authorization | Anthem Blue Cross and Blue Shield Virginia

96904, Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history o, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 96904
Description: Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history o
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 59 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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