Anthem Blue Cross and Blue Shield Virginia prior authorization G0429

Anthem Blue Cross and Blue Shield Virginia prior authorization for G0429: Dermal Filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active

Code: G0429
Description: Dermal Filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 66 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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