61791 prior authorization | Anthem Blue Cross and Blue Shield Virginia

61791, Creation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Trigeminal Medullary Tract, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 61791
Description: Creation, Lesion, Stereotactic, Percutaneous, Neurolytic Agent; Trigeminal Medullary Tract
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 24 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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