Anthem Blue Cross Blue Shield of California prior authorization 61791

Anthem Blue Cross Blue Shield of California prior authorization for 61791: Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (e.g., alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract [specified as RF]

Code: 61791
Description: Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (e.g., alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract [specified as RF]
Source: California PPO Prior Authorization List, Pg 105 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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