64600 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

64600, Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 64600
Description: Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch
Source: New Hampshire Precertification List, Pg 137 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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