0786T prior authorization | Anthem Blue Cross and Blue Shield Nevada

0786T, Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0786T
Description: Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed
Source: Nevada Prior Authorization List, Pg 131 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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