Anthem Blue Cross and Blue Shield Virginia prior authorization 64480

Anthem Blue Cross and Blue Shield Virginia prior authorization for 64480: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separat

Code
64480
Description
Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separat
Source
Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy

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