43842 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
43842, Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 43842
- Description
- Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
- Source
- New Hampshire Precertification List, Pg 118 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization