0687T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0687T, Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0687T
Description: Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session
Source: New Hampshire Precertification List, Pg 68 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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