64624 prior authorization | Anthem Blue Cross and Blue Shield Virginia

64624, Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 64624
Description: Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 26 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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