Anthem Blue Cross Blue Shield of California prior authorization S2066

Anthem Blue Cross Blue Shield of California prior authorization for S2066: Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

Code
S2066
Description
Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Source
California PPO Prior Authorization List, Pg 30 Original policy

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