Anthem Blue Cross Blue Shield of Georgia prior authorization S2066

Anthem Blue Cross Blue Shield of Georgia prior authorization for S2066: Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

Code: S2066
Description: Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Source: Standard Local Prior Authorization Code List, Pg 119 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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