G0400 prior authorization | Anthem Blue Cross and Blue Shield Virginia

G0400, Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: G0400
Description: Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 66 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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