Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0072T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0072T: Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue

Code
0072T
Description
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
Source
New Hampshire Precertification List, Pg 19 Original policy

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