0072T prior authorization | Blue Cross Blue Shield Oklahoma

0072T, Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 0072T
Description: Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 242 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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