G0260 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

G0260, Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: G0260
Description: Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
Source: New Hampshire Precertification List, Pg 228 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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