Anthem Blue Cross Blue Shield of California prior authorization 21160
Anthem Blue Cross Blue Shield of California prior authorization for 21160: Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts)
- Code
- 21160
- Description
- Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts)
- Source
- California PPO Prior Authorization List, Pg 3 Original policy
Anthem Blue Cross Blue Shield of California prior authorization