Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63663

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63663: Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

Code: 63663
Description: Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
Source: New Hampshire Precertification List, Pg 135 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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