76499 prior authorization | Anthem Blue Cross Blue Shield of California
76499, Unlisted diagnostic radiographic procedure [when specified as 4-D or 5-D rendering of fetal ultrasound], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 76499
- Description
- Unlisted diagnostic radiographic procedure [when specified as 4-D or 5-D rendering of fetal ultrasound]
- Source
- California PPO Prior Authorization List, Pg 12 Original policy
Anthem Blue Cross Blue Shield of California prior authorization