S2054 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S2054, Transplantation Of Multivisc, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S2054
Description: Transplantation Of Multivisc
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 80 Original policy

Anthem Blue Cross and Blue Shield Virginia policies that name S2054

The payer's medical and payment policies that list S2054, those listing the fewest codes first. A policy can also list a code it excludes.

Small Bowel, Small Bowel/Liver and Multivisceral Transplantation · TRANS.00013View policy ↗

Anthem Blue Cross and Blue Shield Virginia prior authorization

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