19368 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

19368, Breast reconstruction; with single- pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 19368
Description: Breast reconstruction; with single- pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
Source: New Hampshire Precertification List, Pg 83 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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