A4543 prior authorization | Anthem Blue Cross and Blue Shield Virginia

A4543, Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: A4543
Description: Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 61 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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