Anthem Blue Cross and Blue Shield Virginia prior authorization 64484
Anthem Blue Cross and Blue Shield Virginia prior authorization for 64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately
- Code
- 64484
- Description
- Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization