C9767 prior authorization | Anthem Blue Cross Blue Shield of Georgia

C9767, Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: C9767
Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s)
Source: Standard Local Prior Authorization Code List, Pg 85 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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