S2067 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S2067, Breast reconstruction of a single breast with "stacked" deep inferior, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S2067
Description: Breast reconstruction of a single breast with "stacked" deep inferior
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 80 Original policy

Anthem Blue Cross and Blue Shield Virginia policies that name S2067

The payer's medical and payment policies that list S2067, those listing the fewest codes first. A policy can also list a code it excludes.

SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures · SURG.00023View policy ↗

Anthem Blue Cross and Blue Shield Virginia prior authorization

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