0512T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0512T, Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0512T
Description: Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound
Source: New Hampshire Precertification List, Pg 59 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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