0072T prior authorization | Anthem Blue Cross Blue Shield of California
0072T, Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 0072T
- Description
- Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
- Source
- California PPO Prior Authorization List, Pg 51 Original policy
Anthem Blue Cross Blue Shield of California prior authorization