C9358 prior authorization | Anthem Blue Cross and Blue Shield Virginia

C9358, Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: C9358
Description: Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm
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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