0349T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0349T, Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow and wrist, when performed), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0349T
Description: Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow and wrist, when performed)
Source: New Hampshire Precertification List, Pg 45 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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