0813T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0813T, Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0813T
Description: Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon
Source: New Hampshire Precertification List, Pg 74 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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