Anthem Blue Cross Blue Shield of California prior authorization A4545
Anthem Blue Cross Blue Shield of California prior authorization for A4545: Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month [e.g., supplies for Vivally and ZIDA systems]
- Code
- A4545
- Description
- Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month [e.g., supplies for Vivally and ZIDA systems]
- Source
- California PPO Prior Authorization List, Pg 155 Original policy
Anthem Blue Cross Blue Shield of California prior authorization