64610 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

64610, Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 64610
Description: Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring
Source: New Hampshire Precertification List, Pg 138 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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