Anthem Blue Cross and Blue Shield New Hampshire prior authorization 14040

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 14040: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Code: 14040
Description: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
Source: New Hampshire Precertification List, Pg 79 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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