21073 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

21073, Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 21073
Description: Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)
Source: New Hampshire Precertification List, Pg 85 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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