0718T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0718T, Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0718T
Description: Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral
Source: Standard Local Prior Authorization Code List, Pg 140 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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