0215T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0215T, Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional level(s), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0215T
Description: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional level(s)
Source: Standard Local Prior Authorization Code List, Pg 69 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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