Anthem Blue Cross and Blue Shield Virginia prior authorization C9765

Anthem Blue Cross and Blue Shield Virginia prior authorization for C9765: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s)

Code: C9765
Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 63 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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