Anthem Blue Cross Blue Shield of California prior authorization 64629

Anthem Blue Cross Blue Shield of California prior authorization for 64629: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)

Code: 64629
Description: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)
Source: California PPO Prior Authorization List, Pg 43 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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