66174 prior authorization | Anthem Blue Cross Blue Shield of California

66174, Transluminal dilation of aqueous outflow canal (e.g., canaloplasty); without retention of device or stent, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 66174
Description: Transluminal dilation of aqueous outflow canal (e.g., canaloplasty); without retention of device or stent
Source: California PPO Prior Authorization List, Pg 44 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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