64454 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

64454, Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 64454
Description: Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed
Source: New Hampshire Precertification List, Pg 135 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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