54405 prior authorization | Anthem Blue Cross Blue Shield of California
54405, Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 54405
- Description
- Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir
- Source
- California PPO Prior Authorization List, Pg 104 Original policy
Anthem Blue Cross Blue Shield of California prior authorization