G0330 prior authorization | Anthem Blue Cross and Blue Shield Virginia

G0330, Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia ca, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: G0330
Description: Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia ca
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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