29874 prior authorization | Anthem Blue Cross Blue Shield of California

29874, Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 29874
Description: Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation)
Source: California PPO Prior Authorization List, Pg 91 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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