Anthem Blue Cross Blue Shield of California prior authorization 64491
Anthem Blue Cross Blue Shield of California prior authorization for 64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)
- Code
- 64491
- Description
- Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)
- Source
- California PPO Prior Authorization List, Pg 110 Original policy
Anthem Blue Cross Blue Shield of California prior authorization