Anthem Blue Cross Blue Shield of Georgia prior authorization 21172

Anthem Blue Cross Blue Shield of Georgia prior authorization for 21172: Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)

Code: 21172
Description: Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)
Source: Standard Local Prior Authorization Code List, Pg 96 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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