C9359 prior authorization | Anthem Blue Cross and Blue Shield Nevada

C9359, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: C9359
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
Source: Nevada Prior Authorization List, Pg 140 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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