Anthem Blue Cross Blue Shield of California prior authorization C9764

Anthem Blue Cross Blue Shield of California prior authorization for C9764: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Code: C9764
Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
Source: California PPO Prior Authorization List, Pg 161 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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