Anthem Blue Cross Blue Shield of California prior authorization 90876

Anthem Blue Cross Blue Shield of California prior authorization for 90876: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (e.g., insight oriented, behavior modifying or supportive psychotherapy); 45 minutes or [when specified as EEG biofeedback or neurofeedback]

Code
90876
Description
Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (e.g., insight oriented, behavior modifying or supportive psychotherapy); 45 minutes or [when specified as EEG biofeedback or neurofeedback]
Source
California PPO Prior Authorization List, Pg 13 Original policy

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