C8003 prior authorization | Anthem Blue Cross and Blue Shield Virginia
C8003, Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- C8003
- Description
- Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 62 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization