Anthem Blue Cross and Blue Shield New Hampshire prior authorization 95811

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 95811: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist

Code: 95811
Description: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
Source: New Hampshire Precertification List, Pg 196 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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