E1811 prior authorization | Anthem Blue Cross Blue Shield of Georgia
E1811, Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- E1811
- Description
- Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
- Source
- Standard Local Prior Authorization Code List, Pg 114 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization