Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9604

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9604: Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

Code: C9604
Description: Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
Source: New Hampshire Precertification List, Pg 219 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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