0253T prior authorization | Anthem Blue Cross Blue Shield of California

0253T, Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 0253T
Description: Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space
Source: California PPO Prior Authorization List, Pg 51 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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