20983 prior authorization | Premera Blue Cross of Washington

20983, Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 20983
Description: Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation
Source: Clinical Review by Code List PBCWA, Pg 244 Original policy

Premera Blue Cross of Washington prior authorization

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