Anthem Blue Cross and Blue Shield New Hampshire prior authorization 61891

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 61891: Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)

Code: 61891
Description: Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)
Source: New Hampshire Precertification List, Pg 127 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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