Anthem Blue Cross and Blue Shield New Hampshire prior authorization 22838

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 22838: Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed

Code: 22838
Description: Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed
Source: New Hampshire Precertification List, Pg 94 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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