0601T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0601T, Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0601T
Description: Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open
Source: New Hampshire Precertification List, Pg 64 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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