Anthem Blue Cross and Blue Shield New Hampshire prior authorization 21247

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 21247: Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Code: 21247
Description: Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)
Source: New Hampshire Precertification List, Pg 88 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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