Anthem Blue Cross and Blue Shield New Hampshire prior authorization 96904

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 96904: Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Code: 96904
Description: Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma
Source: New Hampshire Precertification List, Pg 197 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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