55880 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

55880, Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 55880
Description: Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance
Source: New Hampshire Precertification List, Pg 9 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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