C1726 prior authorization | Anthem Blue Cross Blue Shield of California

C1726, Catheter, balloon dilatation, non-vascular [when specified as a balloon sinus ostial dilation device] or [when specified as a balloon dilation device used for EGD dilation], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: C1726
Description: Catheter, balloon dilatation, non-vascular [when specified as a balloon sinus ostial dilation device] or [when specified as a balloon dilation device used for EGD dilation]
Source: California PPO Prior Authorization List, Pg 158 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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