G0428 prior authorization | Anthem Blue Cross Blue Shield of California
G0428, Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- G0428
- Description
- Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)
- Source
- California PPO Prior Authorization List, Pg 69 Original policy
Anthem Blue Cross Blue Shield of California prior authorization