Anthem Blue Cross Blue Shield of California prior authorization 0655T
Anthem Blue Cross Blue Shield of California prior authorization for 0655T: Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging
- Code
- 0655T
- Description
- Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging
- Source
- California PPO Prior Authorization List, Pg 54 Original policy
Anthem Blue Cross Blue Shield of California prior authorization