C9796 prior authorization | Blue Shield of California Promise Health Plan
C9796, Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [SIS]), is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.
- Code
- C9796
- Description
- Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [SIS])
- Source
- Medi-Cal Prior Authorization List, Pg 20 Original policy
Blue Shield of California Promise Health Plan prior authorization