0481T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0481T, Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0481T
Description: Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed
Source: New Hampshire Precertification List, Pg 56 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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