01942 prior authorization | Anthem Blue Cross Blue Shield of California

01942, Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (e.g., kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 01942
Description: Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (e.g., kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral
Source: California PPO Prior Authorization List, Pg 79 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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