Anthem Blue Cross Blue Shield of Georgia prior authorization 64569

Anthem Blue Cross Blue Shield of Georgia prior authorization for 64569: Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator

Code: 64569
Description: Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator
Source: Standard Local Prior Authorization Code List, Pg 133 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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