64633 prior authorization | Anthem Blue Cross Blue Shield of California
64633, Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 64633
- Description
- Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint
- Source
- California PPO Prior Authorization List, Pg 110 Original policy
Anthem Blue Cross Blue Shield of California prior authorization