Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0379T
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0379T: Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions, surveillance, analysis, and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional
- Code
- 0379T
- Description
- Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions, surveillance, analysis, and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional
- Source
- New Hampshire Precertification List, Pg 49 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization