C9785 prior authorization | Anthem Blue Cross and Blue Shield Virginia
C9785, Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- C9785
- Description
- Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 63 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization