53452 prior authorization | Anthem Blue Cross Blue Shield of California
53452, Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance [ProACT System], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 53452
- Description
- Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance [ProACT System]
- Source
- California PPO Prior Authorization List, Pg 104 Original policy
Anthem Blue Cross Blue Shield of California prior authorization