Anthem Blue Cross and Blue Shield New Hampshire prior authorization G0429

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G0429: Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Code: G0429
Description: Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)
Source: New Hampshire Precertification List, Pg 230 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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