Anthem Blue Cross and Blue Shield New Hampshire prior authorization G0330

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G0330: Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room

Code: G0330
Description: Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
Source: New Hampshire Precertification List, Pg 229 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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