Anthem Blue Cross Blue Shield of California prior authorization G0460

Anthem Blue Cross Blue Shield of California prior authorization for G0460: Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment

Code: G0460
Description: Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment
Source: California PPO Prior Authorization List, Pg 25 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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