Anthem Blue Cross Blue Shield of California prior authorization C9796

Anthem Blue Cross Blue Shield of California prior authorization for C9796: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])

Code
C9796
Description
Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
Source
California PPO Prior Authorization List, Pg 22 Original policy

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