11920 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

11920, Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 11920
Description: Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less
Source: New Hampshire Precertification List, Pg 79 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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