11921 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

11921, Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 11921
Description: Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm
Source: New Hampshire Precertification List, Pg 79 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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