Anthem Blue Cross Blue Shield of Georgia prior authorization 62264

Anthem Blue Cross Blue Shield of Georgia prior authorization for 62264: Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day

Code: 62264
Description: Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day
Source: Standard Local Prior Authorization Code List, Pg 132 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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