15777 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

15777, Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (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: 15777
Description: Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 4 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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