21138 prior authorization | Anthem Blue Cross Blue Shield of California

21138, Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 21138
Description: Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)
Source: California PPO Prior Authorization List, Pg 3 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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