Anthem Blue Cross and Blue Shield New Hampshire prior authorization 97763

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 97763: Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes

Code: 97763
Description: Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes
Source: New Hampshire Precertification List, Pg 205 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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