12034 prior authorization | Anthem Blue Cross and Blue Shield Nevada

12034, Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 12034
Description: Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
Source: Nevada Prior Authorization List, Pg 5 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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