Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9785

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9785: Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components

Code: C9785
Description: Endoscopic outlet reduction, gastric pouch application, with endoscopy 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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