Anthem Blue Cross Blue Shield of California prior authorization 64484

Anthem Blue Cross Blue Shield of California prior authorization for 64484: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)

Code: 64484
Description: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
Source: California PPO Prior Authorization List, Pg 109 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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