50542 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

50542, Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 50542
Description: Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed
Source: New Hampshire Precertification List, Pg 122 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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