0888T prior authorization | Anthem Blue Cross Blue Shield of Georgia
0888T, Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 0888T
- Description
- Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance
- Source
- Standard Local Prior Authorization Code List, Pg 111 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization