K1027 prior authorization | Anthem Blue Cross and Blue Shield Virginia
K1027, Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- K1027
- Description
- Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 74 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization