Anthem Blue Cross and Blue Shield New Hampshire prior authorization E0764

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for E0764: Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program

Code: E0764
Description: Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
Source: New Hampshire Precertification List, Pg 226 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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