E1905 prior authorization | Anthem Blue Cross Blue Shield of California
E1905, Virtual reality cognitive behavioral therapy device (CBT), including pre-programmed therapy software [for example, RelieVRx], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- E1905
- Description
- Virtual reality cognitive behavioral therapy device (CBT), including pre-programmed therapy software [for example, RelieVRx]
- Source
- California PPO Prior Authorization List, Pg 68 Original policy
Anthem Blue Cross Blue Shield of California prior authorization