61715 prior authorization | Anthem Blue Cross Blue Shield of California

61715, Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 61715
Description: Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed
Source: California PPO Prior Authorization List, Pg 42 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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