0512T prior authorization | Anthem Blue Cross Blue Shield of Georgia
0512T, Extracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 0512T
- Description
- Extracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound
- Source
- Standard Local Prior Authorization Code List, Pg 139 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization