0442T prior authorization | Anthem Blue Cross Blue Shield of Georgia
0442T, Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 0442T
- Description
- Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)
- Source
- Standard Local Prior Authorization Code List, Pg 110 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization