01942 prior authorization | Anthem Blue Cross Blue Shield of Georgia

01942, Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 01942
Description: Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral
Source: Standard Local Prior Authorization Code List, Pg 1 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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