Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9784

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9784: Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components

Code: C9784
Description: Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
Source: New Hampshire Precertification List, Pg 221 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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