21247 prior authorization | Anthem Blue Cross Blue Shield of California
21247, Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 21247
- Description
- Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia)
- Source
- California PPO Prior Authorization List, Pg 3 Original policy
Anthem Blue Cross Blue Shield of California prior authorization