0474T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0474T, Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0474T
Description: Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space
Source: Standard Local Prior Authorization Code List, Pg 138 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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