Blue Shield of California Promise Health Plan prior authorization 0907T

Blue Shield of California Promise Health Plan prior authorization for 0907T: Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately in addition to code for primary procedure)

Code
0907T
Description
Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately in addition to code for primary procedure)
Source
Medi-Cal Prior Authorization List, Pg 18 Original policy

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