C9774 prior authorization | Anthem Blue Cross and Blue Shield Nevada

C9774, Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: C9774
Description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel
Source: Nevada Prior Authorization List, Pg 141 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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