28890 prior authorization | Anthem Blue Cross and Blue Shield Nevada

28890, Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guida, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 28890
Description: Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guida
Source: Nevada Prior Authorization List, Pg 28 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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