0377U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0377U, Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including 23 variables), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0377U
Description: Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including 23 variables)
Source: New Hampshire Precertification List, Pg 49 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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