11922 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
11922, Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 11922
- Description
- Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 2 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization