55875 prior authorization | Anthem Blue Cross Blue Shield of Georgia

55875, Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 55875
Description: Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
Source: Standard Local Prior Authorization Code List, Pg 23 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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