96904 prior authorization | Anthem Blue Cross Blue Shield of California

96904, Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 96904
Description: Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma
Source: California PPO Prior Authorization List, Pg 50 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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