Anthem Blue Cross and Blue Shield New Hampshire prior authorization 21256

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 21256: Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro- ophthalmia)

Code: 21256
Description: Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro- ophthalmia)
Source: New Hampshire Precertification List, Pg 89 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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