23474 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

23474, Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 23474
Description: Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
Source: New Hampshire Precertification List, Pg 97 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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