A4542 prior authorization | Anthem Blue Cross Blue Shield of California

A4542, Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: A4542
Description: Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
Source: California PPO Prior Authorization List, Pg 22 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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