54410 prior authorization | Anthem Blue Cross Blue Shield of Georgia

54410, Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 54410
Description: Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session
Source: Standard Local Prior Authorization Code List, Pg 22 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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