G0330 prior authorization | Anthem Blue Cross Blue Shield of Georgia

G0330, Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: G0330
Description: Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
Source: Standard Local Prior Authorization Code List, Pg 87 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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