Anthem Blue Cross and Blue Shield Virginia prior authorization 21146
Anthem Blue Cross and Blue Shield Virginia prior authorization for 21146: Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining
- Code
- 21146
- Description
- Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 12 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization