95808 prior authorization | Anthem Blue Cross Blue Shield of California

95808, Polysomnography; Any age, sleep staging with 1-3 additional parameters of sleep, 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: 95808
Description: Polysomnography; Any age, sleep staging with 1-3 additional parameters of sleep, 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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