54520 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

54520, Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 54520
Description: Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach
Source: New Hampshire Precertification List, Pg 123 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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