Anthem Blue Cross and Blue Shield New Hampshire prior authorization G9147

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G9147: Outpatient Intravenous Insulin Treatment (OIVIT) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (UUN); and/or, arterial, venous or capillary glucose; and/or potassium concentration

Code: G9147
Description: Outpatient Intravenous Insulin Treatment (OIVIT) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (UUN); and/or, arterial, venous or capillary glucose; and/or potassium concentration
Source: New Hampshire Precertification List, Pg 232 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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