Anthem Blue Cross Blue Shield of California prior authorization 64494

Anthem Blue Cross Blue Shield of California prior authorization for 64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)

Code: 64494
Description: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; 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

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