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Q4116 prior authorization | Anthem Blue Cross Blue Shield of Colorado

Q4116: Alloderm, per square centimeter (add-on, list separately in addition to primary procedure). Imported Anthem Blue Cross Blue Shield of Colorado source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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Code
Q4116
Description
Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
Source
Colorado Prior Authorization List, Pg 167 Original policy

Anthem Blue Cross Blue Shield of Colorado policies that name Q4116

The payer's medical and payment policies that list Q4116, those listing the fewest codes first. A policy can also list a code it excludes.

Anthem Blue Cross Blue Shield of Colorado prior authorization

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