Anthem Blue Cross Blue Shield of California prior authorization E0736
Anthem Blue Cross Blue Shield of California prior authorization for E0736: Transcutaneous tibial nerve stimulator [e.g., ZIDA Wearable Neuromodulation control unit, Vivally System with hardware control unit]
- Code
- E0736
- Description
- Transcutaneous tibial nerve stimulator [e.g., ZIDA Wearable Neuromodulation control unit, Vivally System with hardware control unit]
- Source
- California PPO Prior Authorization List, Pg 162 Original policy
Anthem Blue Cross Blue Shield of California prior authorization