33933 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

33933, Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, and trachea for implantation, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 33933
Description: Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, and trachea for implantation
Source: New Hampshire Precertification List, Pg 110 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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