Anthem Blue Cross Blue Shield of California prior authorization 51721

Anthem Blue Cross Blue Shield of California prior authorization for 51721: Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorectal cooling device, when performed

Code: 51721
Description: Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorectal cooling device, when performed
Source: California PPO Prior Authorization List, Pg 103 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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