0474T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0474T, Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0474T
Description: Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space
Source: New Hampshire Precertification List, Pg 56 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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