0913T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0913T, Percutaneous transcatheter therapeutic drug delivery by intracoronary drugdelivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0913T
Description: Percutaneous transcatheter therapeutic drug delivery by intracoronary drugdelivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery
Source: Standard Local Prior Authorization Code List, Pg 82 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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