64600 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64600, Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 64600
Description: Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch
Source: Standard Local Prior Authorization Code List, Pg 29 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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