21812 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

21812, Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 21812
Description: Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs
Source: New Hampshire Precertification List, Pg 89 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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