64484 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64484, Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); lumbar or sacral, each additional level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 64484
Description: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging, Guidance (fluoroscopy or CT); lumbar or sacral, each additional level
Source: Standard Local Prior Authorization Code List, Pg 28 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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