21188 prior authorization | Anthem Blue Cross Blue Shield of Georgia
21188, Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 21188
- Description
- Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)
- Source
- Standard Local Prior Authorization Code List, Pg 97 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization