Anthem Blue Cross and Blue Shield Virginia prior authorization 01940

Anthem Blue Cross and Blue Shield Virginia prior authorization for 01940: Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral

Code: 01940
Description: Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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