Blue Cross and Blue Shield of Montana prior authorization C7504

Blue Cross and Blue Shield of Montana prior authorization for C7504: Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance

Code: C7504
Description: Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 254 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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