0894T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0894T, Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0894T
Description: Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion
Source: New Hampshire Precertification List, Pg 76 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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