95921 prior authorization | Anthem Blue Cross Blue Shield of California

95921, Testing of autonomic nervous system function; cardiovagal innervations (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 95921
Description: Testing of autonomic nervous system function; cardiovagal innervations (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio
Source: California PPO Prior Authorization List, Pg 141 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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