97009 prior authorization | Blue Shield of California Promise Health Plan
97009, Mechanical scalp cooling; provided after discontinuation of chemotherapy, each 30 minutes (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
- 97009
- Description
- Mechanical scalp cooling; provided after discontinuation of chemotherapy, each 30 minutes (List separately in addition to code for primary procedure)
- Source
- Medi-Cal Prior Authorization List, Pg 11 Original policy
Blue Shield of California Promise Health Plan prior authorization