Anthem Blue Cross and Blue Shield New Hampshire prior authorization 36465

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 36465: Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

Code: 36465
Description: Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)
Source: New Hampshire Precertification List, Pg 111 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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