Anthem Blue Cross and Blue Shield New Hampshire prior authorization 61642

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 61642: Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure)

Code: 61642
Description: Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 10 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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