14061 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
14061, Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 14061
- Description
- Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm
- Source
- New Hampshire Precertification List, Pg 79 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization