0786T prior authorization | Anthem Blue Cross Blue Shield of Colorado

0786T, Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 0786T
Description: Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed
Source: Colorado Prior Authorization List, Pg 139 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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