90876 prior authorization | Anthem Blue Cross Blue Shield of California

90876, Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (e.g., insight oriented, behavior modifying or supportive psychotherapy); 45 minutes or [when specified as EEG biofeedback or neurofeedback], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 90876
Description: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (e.g., insight oriented, behavior modifying or supportive psychotherapy); 45 minutes or [when specified as EEG biofeedback or neurofeedback]
Source: California PPO Prior Authorization List, Pg 13 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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