Anthem Blue Cross and Blue Shield New Hampshire prior authorization G0399

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G0399: Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation

Code: G0399
Description: Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
Source: New Hampshire Precertification List, Pg 229 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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