53452 prior authorization | Anthem Blue Cross Blue Shield of Georgia

53452, Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 53452
Description: Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance
Source: Standard Local Prior Authorization Code List, Pg 131 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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