95783 prior authorization | Anthem Blue Cross Blue Shield of California

95783, Polysomnography; Younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 95783
Description: Polysomnography; Younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist
Source: California PPO Prior Authorization List, Pg 140 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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