Anthem Blue Cross Blue Shield of California prior authorization 21247
Anthem Blue Cross Blue Shield of California prior authorization for 21247: Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia)
- Code
- 21247
- Description
- Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia)
- Source
- California PPO Prior Authorization List, Pg 3 Original policy
Anthem Blue Cross Blue Shield of California prior authorization