44715 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

44715, Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 44715
Description: Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein
Source: New Hampshire Precertification List, Pg 119 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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