Anthem Blue Cross Blue Shield of Georgia prior authorization 0629T

Anthem Blue Cross Blue Shield of Georgia prior authorization for 0629T: Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level [VAST, Via Disc]

Code: 0629T
Description: Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level [VAST, Via Disc]
Source: Standard Local Prior Authorization Code List, Pg 80 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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