0672T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0672T, Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0672T
Description: Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence
Source: Standard Local Prior Authorization Code List, Pg 140 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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