C9767 prior authorization | Anthem Blue Cross Blue Shield of Colorado
C9767, Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- C9767
- Description
- Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s)
- Source
- Colorado Prior Authorization List, Pg 149 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization