55865 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
55865, Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 55865
- Description
- Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes
- Source
- New Hampshire Precertification List, Pg 124 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization