Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0264T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0264T: Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest

Code: 0264T
Description: Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest
Source: New Hampshire Precertification List, Pg 35 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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