64479 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
64479, Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 64479
- Description
- Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level
- Source
- New Hampshire Precertification List, Pg 135 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization