Blue Cross and Blue Shield of Montana prior authorization 36465

Blue Cross and Blue Shield of Montana prior authorization for 36465: Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

Code: 36465
Description: Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 36 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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