0581T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0581T, Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0581T
Description: Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral
Source: Standard Local Prior Authorization Code List, Pg 80 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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