0667T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0667T, Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0667T
- Description
- Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor
- Source
- New Hampshire Precertification List, Pg 67 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization