21073 prior authorization | Anthem Blue Cross Blue Shield of Georgia

21073, Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 21073
Description: Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)
Source: Standard Local Prior Authorization Code List, Pg 2 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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