0738T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0738T, Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0738T
Description: Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination
Source: New Hampshire Precertification List, Pg 69 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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