64657 prior authorization | Anthem Blue Cross Blue Shield of California
64657, Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 64657
- Description
- Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator
- Source
- California PPO Prior Authorization List, Pg 43 Original policy
Anthem Blue Cross Blue Shield of California prior authorization