E1905 prior authorization | Anthem Blue Cross and Blue Shield Virginia
E1905, Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- E1905
- Description
- Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 65 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization