Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9796

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9796: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [SIS])

Code: C9796
Description: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [SIS])
Source: New Hampshire Precertification List, Pg 221 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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