20931 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
20931, Allograft, structural, for spine surgery only (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
- 20931
- Description
- Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 84 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization