Anthem Blue Cross Blue Shield of California prior authorization 96999
Anthem Blue Cross Blue Shield of California prior authorization for 96999: Unlisted special dermatological service or procedure[when specified as dermatoscopy techniques such as dermoscopy, epiluminescence microscopy, or digital epiluminescence microscopy, skin surface microscopy, skin videomicroscopy, incidence light microscopy or reflectance confocal microscopy not generating mosaic images] or [when specified as ultrasonography of the skin for skin lesions] or [when specified as tunable dye or pulsed dye laser treatment for varicose veins] or [when specified as laser treatment of onychomycosis]
- Code
- 96999
- Description
- Unlisted special dermatological service or procedure[when specified as dermatoscopy techniques such as dermoscopy, epiluminescence microscopy, or digital epiluminescence microscopy, skin surface microscopy, skin videomicroscopy, incidence light microscopy or reflectance confocal microscopy not generating mosaic images] or [when specified as ultrasonography of the skin for skin lesions] or [when specified as tunable dye or pulsed dye laser treatment for varicose veins] or [when specified as laser treatment of onychomycosis]
- Source
- California PPO Prior Authorization List, Pg 14 Original policy
Anthem Blue Cross Blue Shield of California prior authorization