55874 prior authorization | Anthem Blue Cross Blue Shield of Colorado
55874, Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 55874
- Description
- Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed
- Source
- Colorado Prior Authorization List, Pg 63 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization