64415 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64415, Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 64415
Description: Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed
Source: Standard Local Prior Authorization Code List, Pg 133 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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