Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0494T
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0494T: Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservation of the allograft prior to implantation, when performed
- Code
- 0494T
- Description
- Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservation of the allograft prior to implantation, when performed
- Source
- New Hampshire Precertification List, Pg 57 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization