21110 prior authorization | Anthem Blue Cross Blue Shield of Georgia

21110, Application of interdental fixation device for conditions other than fracture or dislocation, includes removal, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 21110
Description: Application of interdental fixation device for conditions other than fracture or dislocation, includes removal
Source: Standard Local Prior Authorization Code List, Pg 2 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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