0935T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0935T, Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0935T
Description: Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement
Source: New Hampshire Precertification List, Pg 78 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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