A4545 prior authorization | Anthem Blue Cross and Blue Shield Virginia

A4545, Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: A4545
Description: Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one 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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