C9359 prior authorization | Anthem Blue Cross Blue Shield of Colorado

C9359, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: C9359
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
Source: Colorado Prior Authorization List, Pg 148 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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