0449T prior authorization | Anthem Blue Cross Blue Shield of California

0449T, Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device [XEN Gel Stent], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 0449T
Description: Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device [XEN Gel Stent]
Source: California PPO Prior Authorization List, Pg 52 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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