0253T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0253T, Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the suprachoroidal space, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0253T
Description: Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the suprachoroidal space
Source: New Hampshire Precertification List, Pg 34 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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