54416 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
54416, Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis at the same operative session, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 54416
- Description
- Removal and replacement of non- inflatable (semi-rigid) or inflatable (self- contained) penile prosthesis at the same operative session
- Source
- New Hampshire Precertification List, Pg 9 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization