C9604 prior authorization | Anthem Blue Cross and Blue Shield Nevada

C9604, Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug- eluting intracoronary, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: C9604
Description: Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug- eluting intracoronary
Source: Nevada Prior Authorization List, Pg 140 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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