A4542 prior authorization | Anthem Blue Cross and Blue Shield Virginia
A4542, Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- A4542
- Description
- Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 61 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization