Anthem Blue Cross and Blue Shield New Hampshire prior authorization 62264

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 62264: Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day

Code: 62264
Description: Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day
Source: New Hampshire Precertification List, Pg 127 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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