64484 prior authorization | Anthem Blue Cross Blue Shield of Colorado

64484, Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 64484
Description: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately
Source: Colorado Prior Authorization List, Pg 76 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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