S2066 prior authorization | Anthem Blue Cross Blue Shield of California

S2066, Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: S2066
Description: Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Source: California PPO Prior Authorization List, Pg 30 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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