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

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