0481T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0481T, Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0481T
Description: Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed
Source: Standard Local Prior Authorization Code List, Pg 110 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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