Anthem Blue Cross Blue Shield of California prior authorization B4189
Anthem Blue Cross Blue Shield of California prior authorization for B4189: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix
- Code
- B4189
- Description
- Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix
- Source
- California PPO Prior Authorization List, Pg 65 Original policy
Anthem Blue Cross Blue Shield of California prior authorization