Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0102T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0102T: Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle

Code: 0102T
Description: Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle
Source: New Hampshire Precertification List, Pg 21 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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