Q4287 prior authorization | Anthem Blue Cross and Blue Shield Virginia
Q4287, Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- Q4287
- Description
- Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 78 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization