Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0221T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0221T: Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar

Code: 0221T
Description: Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar
Source: New Hampshire Precertification List, Pg 31 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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