43774 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

43774, Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 43774
Description: Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
Source: New Hampshire Precertification List, Pg 118 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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