E0736 prior authorization | Anthem Blue Cross Blue Shield of California
E0736, Transcutaneous tibial nerve stimulator [e.g., ZIDA Wearable Neuromodulation control unit, Vivally System with hardware control unit], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- E0736
- Description
- Transcutaneous tibial nerve stimulator [e.g., ZIDA Wearable Neuromodulation control unit, Vivally System with hardware control unit]
- Source
- California PPO Prior Authorization List, Pg 162 Original policy
Anthem Blue Cross Blue Shield of California prior authorization