0373T prior authorization | Anthem Blue Cross Blue Shield of California
0373T, Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: - administration by physician or other qualified health care professional who is on site; - with the assistance of two or more technicians; - for a patient who exhibits destructive behavior; - completion in an environment that is customized to the patient's behavior., is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 0373T
- Description
- Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: - administration by physician or other qualified health care professional who is on site; - with the assistance of two or more technicians; - for a patient who exhibits destructive behavior; - completion in an environment that is customized to the patient's behavior.
- Source
- California PPO Prior Authorization List, Pg 16 Original policy
Anthem Blue Cross Blue Shield of California prior authorization