1037T prior authorization | Anthem Blue Cross Blue Shield of California

1037T, Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant pancreatic tissue, including imaging guidance, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 1037T
Description: Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant pancreatic tissue, including imaging guidance
Source: California PPO Prior Authorization List, Pg 18 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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