0944T prior authorization | Blue Shield of California Promise Health Plan

0944T, 3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: 0944T
Description: 3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation
Source: Medi-Cal Prior Authorization List, Pg 18 Original policy

Blue Shield of California Promise Health Plan prior authorization

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