Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0217T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0217T: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in addition to code for primary procedure)

Code: 0217T
Description: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 30 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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