E1801 prior authorization | Anthem Blue Cross and Blue Shield Virginia
E1801, Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- E1801
- Description
- Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 65 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization