0907T prior authorization | Blue Shield of California Promise Health Plan

0907T, Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately in addition to code for primary procedure), is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: 0907T
Description: Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately in addition to code for primary procedure)
Source: Medi-Cal Prior Authorization List, Pg 18 Original policy

Blue Shield of California Promise Health Plan prior authorization

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