21122 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

21122, Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 21122
Description: Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)
Source: New Hampshire Precertification List, Pg 85 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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