27137 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

27137, Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 27137
Description: Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
Source: New Hampshire Precertification List, Pg 98 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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