Anthem Blue Cross Blue Shield of Georgia prior authorization 54417

Anthem Blue Cross Blue Shield of Georgia prior authorization for 54417: Removal and replacement of non-inflatable (semi- rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Code: 54417
Description: Removal and replacement of non-inflatable (semi- rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue
Source: Standard Local Prior Authorization Code List, Pg 22 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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