Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9774

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9774: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed

Code: C9774
Description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed
Source: New Hampshire Precertification List, Pg 221 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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