Anthem Blue Cross Blue Shield of California prior authorization 0379T

Anthem Blue Cross Blue Shield of California prior authorization for 0379T: Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions, surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional

Code

0379T

Description

Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions, surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional

Source

California PPO Prior Authorization List, Pg 52 Original policy

Anthem Blue Cross Blue Shield of California prior authorization