Anthem Blue Cross and Blue Shield Virginia prior authorization G0465
Anthem Blue Cross and Blue Shield Virginia prior authorization for G0465: Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (includes as applicab
- Code
- G0465
- Description
- Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (includes as applicab
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 66 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization