64610 prior authorization | Anthem Blue Cross Blue Shield of Georgia
64610, Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 64610
- Description
- Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring
- Source
- Standard Local Prior Authorization Code List, Pg 29 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization