0378T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0378T, Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0378T
Description: Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional
Source: New Hampshire Precertification List, Pg 49 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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