29875 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

29875, Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 29875
Description: Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)
Source: New Hampshire Precertification List, Pg 103 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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