21256 prior authorization | Anthem Blue Cross Blue Shield of California
21256, Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (e.g., micro- ophthalmia), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 21256
- Description
- Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (e.g., micro- ophthalmia)
- Source
- California PPO Prior Authorization List, Pg 3 Original policy
Anthem Blue Cross Blue Shield of California prior authorization