55873 prior authorization | Anthem Blue Cross Blue Shield of California

55873, Cryosurgical ablation of the prostate (includes ultrasonic guidance for interstitial cryosurgical probe placement), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 55873
Description: Cryosurgical ablation of the prostate (includes ultrasonic guidance for interstitial cryosurgical probe placement)
Source: California PPO Prior Authorization List, Pg 41 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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