Anthem Blue Cross and Blue Shield New Hampshire prior authorization 19296

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 19296: Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy

Code: 19296
Description: Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy
Source: New Hampshire Precertification List, Pg 82 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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