55865 prior authorization | Blue Cross and Blue Shield of Montana

55865, Exposure Of Prostate Any Approach For Insertion Of Radioactive Substance; With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 55865
Description: Exposure Of Prostate Any Approach For Insertion Of Radioactive Substance; With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 47 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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