Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0717T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0717T: Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs

Code: 0717T
Description: Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs
Source: New Hampshire Precertification List, Pg 69 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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