Anthem Blue Cross Blue Shield of Georgia prior authorization C9764

Anthem Blue Cross Blue Shield of Georgia prior authorization for C9764: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the sam

Code: C9764
Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the sam
Source: Standard Local Prior Authorization Code List, Pg 85 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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