C9359 prior authorization | Anthem Blue Cross Blue Shield of Georgia

C9359, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: C9359
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
Source: Standard Local Prior Authorization Code List, Pg 85 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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