S1091 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S1091, Stent, non-coronary, temporary, with delivery system (propel), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S1091
Description: Stent, non-coronary, temporary, with delivery system (propel)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 80 Original policy

Anthem Blue Cross and Blue Shield Virginia policies that name S1091

The payer's medical and payment policies that list S1091, those listing the fewest codes first. A policy can also list a code it excludes.

SURG.00132 Drug-Eluting Devices for Maintaining Sinus Ostial Patency · SURG.00132View policy ↗

Anthem Blue Cross and Blue Shield Virginia prior authorization

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