Anthem Blue Cross Blue Shield of California prior authorization 21182

Anthem Blue Cross Blue Shield of California prior authorization for 21182: Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra-and extracranial excision of benign tumor of cranial bone (e.g., fibrous dysplasia), with multiple autografts (includes obtaining grafts)

Code
21182
Description
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra-and extracranial excision of benign tumor of cranial bone (e.g., fibrous dysplasia), with multiple autografts (includes obtaining grafts)
Source
California PPO Prior Authorization List, Pg 3 Original policy

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