69633 prior authorization | Anthem Blue Cross and Blue Shield Nevada

69633, Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 69633
Description: Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision
Source: Nevada Prior Authorization List, Pg 78 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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