G0399 prior authorization | Anthem Blue Cross Blue Shield of Georgia

G0399, Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: G0399
Description: Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
Source: Standard Local Prior Authorization Code List, Pg 87 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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