29874 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

29874, Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 29874
Description: Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)
Source: New Hampshire Precertification List, Pg 103 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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