0891T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0891T, Accelerated, repetitive high-dose functional connectivity MRI-guided theta- burst stimulation, including neuronavigation, delivery and management, subsequent treatment day, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0891T
Description: Accelerated, repetitive high-dose functional connectivity MRI-guided theta- burst stimulation, including neuronavigation, delivery and management, subsequent treatment day
Source: New Hampshire Precertification List, Pg 76 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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