Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0411T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0411T: Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular electrode only

Code: 0411T
Description: Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular electrode only
Source: New Hampshire Precertification List, Pg 52 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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