55875 prior authorization | Anthem Blue Cross and Blue Shield Virginia

55875, Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 55875
Description: Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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