G0460 prior authorization | Anthem Blue Cross and Blue Shield Nevada

G0460, Autologous platelet rich plasma or other blood-derived product for non- diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all ot, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: G0460
Description: Autologous platelet rich plasma or other blood-derived product for non- diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all ot
Source: Nevada Prior Authorization List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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