C9359 prior authorization | Blue Cross and Blue Shield of Montana

C9359, Porous Purified Collagen Matrix Bone Void Filler (Integra Mozaik Osteoconductive Scaffold Putty Integra Os Osteoconductive Scaffold Putty) Per 0.5 Cc, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: C9359
Description: Porous Purified Collagen Matrix Bone Void Filler (Integra Mozaik Osteoconductive Scaffold Putty Integra Os Osteoconductive Scaffold Putty) Per 0.5 Cc
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 257 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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