Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0587T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0587T: Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, programming, and imaging guidance when performed, posterior tibial nerve

Code
0587T
Description
Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, programming, and imaging guidance when performed, posterior tibial nerve
Source
New Hampshire Precertification List, Pg 63 Original policy

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