Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0739T
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0739T: Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature monitoring, thermal dosimetry, bladder irrigation, and magnetic field nanoparticle activation
- Code
- 0739T
- Description
- Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature monitoring, thermal dosimetry, bladder irrigation, and magnetic field nanoparticle activation
- Source
- New Hampshire Precertification List, Pg 69 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization