S8030 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S8030, Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S8030
Description: Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 81 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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