C9353 prior authorization | Anthem Blue Cross and Blue Shield Virginia

C9353, Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: C9353
Description: Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 63 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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