53453 prior authorization | Anthem Blue Cross Blue Shield of California

53453, Periurethral transperineal adjustable balloon continence device; removal, each balloon [ProACT System], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 53453
Description: Periurethral transperineal adjustable balloon continence device; removal, each balloon [ProACT System]
Source: California PPO Prior Authorization List, Pg 104 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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