E1811 prior authorization | Anthem Blue Cross and Blue Shield Virginia

E1811, Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and acc, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: E1811
Description: Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and acc
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 65 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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