0717T prior authorization | Anthem Blue Cross and Blue Shield Nevada

0717T, Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0717T
Description: Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, i
Source: Nevada Prior Authorization List, Pg 130 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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