95811 prior authorization | Anthem Blue Cross Blue Shield of Georgia
95811, Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 95811
- Description
- Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
- Source
- Standard Local Prior Authorization Code List, Pg 59 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization