64657 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64657, Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 64657
Description: Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator
Source: Standard Local Prior Authorization Code List, Pg 29 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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