21138 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

21138, Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 21138
Description: Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)
Source: New Hampshire Precertification List, Pg 86 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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