21180 prior authorization | Anthem Blue Cross Blue Shield of Georgia

21180, Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 21180
Description: Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)
Source: Standard Local Prior Authorization Code List, Pg 96 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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