C9362 prior authorization | Anthem Blue Cross Blue Shield of Georgia

C9362, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: C9362
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), 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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