G0429 prior authorization | Anthem Blue Cross and Blue Shield Virginia

G0429, Dermal Filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: G0429
Description: Dermal Filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active
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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