Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0417T
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0417T: Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system
- Code
- 0417T
- Description
- Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system
- Source
- New Hampshire Precertification List, Pg 53 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization