55875 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

55875, Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 55875
Description: Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
Source: New Hampshire Precertification List, Pg 124 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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