Anthem Blue Cross and Blue Shield Virginia prior authorization E1801
Anthem Blue Cross and Blue Shield Virginia prior authorization for E1801: Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac
- Code
- E1801
- Description
- Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 65 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization