Blue Cross and Blue Shield of Montana prior authorization 20933

Blue Cross and Blue Shield of Montana prior authorization for 20933: Allograft Includes Templating Cutting Placement And Internal Fixation When Performed; Hemicortical Intercalary Partial (Ie Hemicylindrical) (List Separately In Addition To Code For Primary Procedure)

Code: 20933
Description: Allograft Includes Templating Cutting Placement And Internal Fixation When Performed; Hemicortical Intercalary Partial (Ie Hemicylindrical) (List Separately In Addition To Code For Primary Procedure)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 7 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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