Anthem Blue Cross and Blue Shield Virginia prior authorization 0253T

Anthem Blue Cross and Blue Shield Virginia prior authorization for 0253T: Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the suprachoroidal space

Code: 0253T
Description: Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the suprachoroidal space
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 4 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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