Anthem Blue Cross Blue Shield of California prior authorization 37242

Anthem Blue Cross Blue Shield of California prior authorization for 37242: Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (e.g., congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms) [when specified as bariatric arterial embolization] or [when specified as genicular artery embolization]

Code

37242

Description

Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (e.g., congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms) [when specified as bariatric arterial embolization] or [when specified as genicular artery embolization]

Source

California PPO Prior Authorization List, Pg 96 Original policy

Anthem Blue Cross Blue Shield of California prior authorization