01939 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

01939, Anesthesia for percutaneous image- guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 01939
Description: Anesthesia for percutaneous image- guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic
Source: New Hampshire Precertification List, Pg 27 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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