Anthem Blue Cross Blue Shield of California prior authorization 0888T

Anthem Blue Cross Blue Shield of California prior authorization for 0888T: Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance

Code
0888T
Description
Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance
Source
California PPO Prior Authorization List, Pg 18 Original policy

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