E1816 prior authorization | Anthem Blue Cross Blue Shield of Georgia

E1816, Static progressive stretch ankle device, flexion and/or extension, 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: E1816
Description: Static progressive stretch ankle device, flexion and/or extension, 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

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