Anthem Blue Cross and Blue Shield New Hampshire prior authorization 15777

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 15777: Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)

Code: 15777
Description: Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 4 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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