E0738 prior authorization | Anthem Blue Cross Blue Shield of Georgia

E0738, Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, includes microprocessor, all components and accessories, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: E0738
Description: Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, includes microprocessor, all components and accessories
Source: Standard Local Prior Authorization Code List, Pg 113 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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