67027 prior authorization | Anthem Blue Cross Blue Shield of California

67027, Implantation of intravitreal drug delivery system (e.g., ganciclovir implant), includes concomitant removal of vitreous [when specified as intravitreal implantation of Encelto (revakinagene taroretcel-lwey), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 67027
Description: Implantation of intravitreal drug delivery system (e.g., ganciclovir implant), includes concomitant removal of vitreous [when specified as intravitreal implantation of Encelto (revakinagene taroretcel-lwey)
Source: California PPO Prior Authorization List, Pg 11 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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