28890 prior authorization | Anthem Blue Cross Blue Shield of Colorado

28890, Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guida, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 28890
Description: Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guida
Source: Colorado Prior Authorization List, Pg 30 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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