0668T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0668T, Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) and uterine artery(ies), as necessary, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0668T
Description: Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) and uterine artery(ies), as necessary
Source: New Hampshire Precertification List, Pg 67 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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