S1091 prior authorization | Anthem Blue Cross Blue Shield of Georgia

S1091, Stent, non-coronary, temporary, with delivery system (Propel), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: S1091
Description: Stent, non-coronary, temporary, with delivery system (Propel)
Source: Standard Local Prior Authorization Code List, Pg 154 Original policy

Anthem Blue Cross Blue Shield of Georgia policies that name S1091

The payer's medical and payment policies that list S1091, those listing the fewest codes first. A policy can also list a code it excludes.

SURG.00132 Drug-Eluting Devices for Maintaining Sinus Ostial Patency · SURG.00132View policy ↗

Anthem Blue Cross Blue Shield of Georgia prior authorization

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