S3870 prior authorization | Anthem Blue Cross and Blue Shield Virginia
S3870, Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- S3870
- Description
- Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 81 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization