64625 prior authorization | Anthem Blue Cross Blue Shield of Colorado
64625, Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography), is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 64625
- Description
- Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)
- Source
- Colorado Prior Authorization List, Pg 78 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization