Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0790T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0790T: Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed

Code: 0790T
Description: Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed
Source: New Hampshire Precertification List, Pg 72 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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