Anthem Blue Cross Blue Shield of California prior authorization 21172

Anthem Blue Cross Blue Shield of California prior authorization for 21172: Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)

Code: 21172
Description: Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)
Source: California PPO Prior Authorization List, Pg 3 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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