C9774 prior authorization | Anthem Blue Cross Blue Shield of Georgia

C9774, Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: C9774
Description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel
Source: Standard Local Prior Authorization Code List, Pg 85 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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