Anthem Blue Cross Blue Shield of Georgia prior authorization 64634

Anthem Blue Cross Blue Shield of Georgia prior authorization for 64634: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint

Code: 64634
Description: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint
Source: Standard Local Prior Authorization Code List, Pg 29 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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