Anthem Blue Cross and Blue Shield New Hampshire prior authorization 19368
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 19368: Breast reconstruction; with single- pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
- Code
- 19368
- Description
- Breast reconstruction; with single- pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
- Source
- New Hampshire Precertification List, Pg 83 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization