0201T prior authorization | Anthem Blue Cross Blue Shield of Colorado

0201T, Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 0201T
Description: Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles
Source: Colorado Prior Authorization List, Pg 121 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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