Anthem Blue Cross and Blue Shield New Hampshire prior authorization 61737

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 61737: Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)

Code: 61737
Description: Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s)
Source: New Hampshire Precertification List, Pg 126 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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