0164U prior authorization | Anthem Blue Cross Blue Shield of California
0164U, Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for antiCdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 0164U
- Description
- Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for antiCdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results
- Source
- California PPO Prior Authorization List, Pg 20 Original policy
Anthem Blue Cross Blue Shield of California prior authorization