Anthem Blue Cross and Blue Shield New Hampshire prior authorization 54417

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 54417: Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Code: 54417
Description: Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue
Source: New Hampshire Precertification List, Pg 9 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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