0490T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0490T, Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0490T
Description: Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands
Source: Standard Local Prior Authorization Code List, Pg 138 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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