0071T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0071T, Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0071T
Description: Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue
Source: New Hampshire Precertification List, Pg 19 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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