50250 prior authorization | Anthem Blue Cross and Blue Shield Virginia

50250, Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 50250
Description: Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 21 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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