0102T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0102T, Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving lateral humeral epicondyle, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0102T
Description: Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving lateral humeral epicondyle
Source: Standard Local Prior Authorization Code List, Pg 136 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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