L3999 prior authorization | Anthem Blue Cross Blue Shield of California

L3999, Upper limb orthosis, not otherwise specified [when specified as an upper extremity myoelectric orthosis], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: L3999
Description: Upper limb orthosis, not otherwise specified [when specified as an upper extremity myoelectric orthosis]
Source: California PPO Prior Authorization List, Pg 28 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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