C9774 prior authorization | Anthem Blue Cross Blue Shield of Colorado
C9774, Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- C9774
- Description
- Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel
- Source
- Colorado Prior Authorization List, Pg 149 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization