21256 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
21256, Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro- ophthalmia), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 21256
- Description
- Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro- ophthalmia)
- Source
- New Hampshire Precertification List, Pg 89 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization