G0428 prior authorization | Anthem Blue Cross and Blue Shield Virginia
G0428, Collagen Meniscus Implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- G0428
- Description
- Collagen Meniscus Implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 66 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization