64479 prior authorization | Anthem Blue Cross Blue Shield of Georgia
64479, Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); cervical or thoracic, single level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 64479
- Description
- Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); cervical or thoracic, single level
- Source
- Standard Local Prior Authorization Code List, Pg 28 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization