E3200 prior authorization | Anthem Blue Cross Blue Shield of Georgia
E3200, Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- E3200
- Description
- Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only
- Source
- Standard Local Prior Authorization Code List, Pg 114 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization