90876 prior authorization | Anthem Blue Cross Blue Shield of Georgia

90876, Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 45 minutes, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 90876
Description: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 45 minutes
Source: Standard Local Prior Authorization Code List, Pg 107 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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