Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9809

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9809: Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, nonopioid medical device (must be a qualifying Medicare nonopioid medical device for postsurgical pain relief in accordance with Section 4135 of the CAA, 2023)

Code: C9809
Description: Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, nonopioid medical device (must be a qualifying Medicare nonopioid medical device for postsurgical pain relief in accordance with Section 4135 of the CAA, 2023)
Source: New Hampshire Precertification List, Pg 222 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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