Anthem Blue Cross and Blue Shield New Hampshire prior authorization G2083

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G2083: Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self administration, includes 2 hours post administration observation

Code: G2083
Description: Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self administration, includes 2 hours post administration observation
Source: New Hampshire Precertification List, Pg 230 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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