21073 prior authorization | Anthem Blue Cross Blue Shield of Colorado
21073, Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 21073
- Description
- Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., general or monitor
- Source
- Colorado Prior Authorization List, Pg 13 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization