Anthem Blue Cross and Blue Shield New Hampshire prior authorization 43845

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 43845: Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Code: 43845
Description: Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
Source: New Hampshire Precertification List, Pg 119 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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