55880 prior authorization | Anthem Blue Cross Blue Shield of Georgia

55880, Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 55880
Description: Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance
Source: Standard Local Prior Authorization Code List, Pg 23 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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