Q4366 prior authorization | Anthem Blue Cross Blue Shield of Georgia
Q4366, Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- Q4366
- Description
- Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Source
- Standard Local Prior Authorization Code List, Pg 153 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization