G0465 prior authorization | Anthem Blue Cross Blue Shield of Colorado

G0465, Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (includes as applicab, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: G0465
Description: Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (includes as applicab
Source: Colorado Prior Authorization List, Pg 153 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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