Anthem Blue Cross Blue Shield of California prior authorization 37799

Anthem Blue Cross Blue Shield of California prior authorization for 37799: Unlisted procedure, vascular surgery [when specified as percutaneous hepatic perfusion delivery of intra-arterial high dose melphalan HEPZATO] or [when specified as COMPASS protocol, endoluminal cryoablation, or coil embolization of varicose veins] or [when specified as extracorporeal carbon dioxide removal]

Code: 37799
Description: Unlisted procedure, vascular surgery [when specified as percutaneous hepatic perfusion delivery of intra-arterial high dose melphalan HEPZATO] or [when specified as COMPASS protocol, endoluminal cryoablation, or coil embolization of varicose veins] or [when specified as extracorporeal carbon dioxide removal]
Source: California PPO Prior Authorization List, Pg 5 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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