Anthem Blue Cross Blue Shield of California prior authorization 62264

Anthem Blue Cross Blue Shield of California prior authorization for 62264: Percutaneous lysis of epidural adhesions using solution injection (e.g., hypertonic saline, enzyme) or mechanical means (e.g., catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day

Code: 62264
Description: Percutaneous lysis of epidural adhesions using solution injection (e.g., hypertonic saline, enzyme) or mechanical means (e.g., catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day
Source: California PPO Prior Authorization List, Pg 42 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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