64480 prior authorization | Anthem Blue Cross Blue Shield of Georgia
64480, Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); cervical or thoracic, each additional level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 64480
- Description
- Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); cervical or thoracic, each additional level
- Source
- Standard Local Prior Authorization Code List, Pg 28 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization