0615T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0615T, Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0615T
Description: Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report
Source: New Hampshire Precertification List, Pg 65 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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