0201T prior authorization | Anthem Blue Cross and Blue Shield Nevada

0201T, Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0201T
Description: Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles
Source: Nevada Prior Authorization List, Pg 113 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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