Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0165T
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0165T: Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)
- Code
- 0165T
- Description
- Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 25 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization