Anthem Blue Cross Blue Shield of California prior authorization 0449T
Anthem Blue Cross Blue Shield of California prior authorization for 0449T: Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device [XEN Gel Stent]
- Code
- 0449T
- Description
- Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device [XEN Gel Stent]
- Source
- California PPO Prior Authorization List, Pg 52 Original policy
Anthem Blue Cross Blue Shield of California prior authorization