C1734 prior authorization | Anthem Blue Cross and Blue Shield Virginia
C1734, Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- C1734
- Description
- Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 62 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization