V2790 prior authorization | Anthem Blue Cross Blue Shield of California

V2790, Amniotic membrane for surgical reconstruction, per procedure, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: V2790
Description: Amniotic membrane for surgical reconstruction, per procedure
Source: California PPO Prior Authorization List, Pg 173 Original policy

Anthem Blue Cross Blue Shield of California policies that name V2790

The payer's medical and payment policies that list V2790, those listing the fewest codes first. A policy can also list a code it excludes.

CG-SURG-127 Products for Wound Healing and Soft Tissue Grafting: Medically Necessary Uses · CG-SURG-127View policy ↗

Anthem Blue Cross Blue Shield of California prior authorization

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