66175 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

66175, Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 66175
Description: Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent
Source: New Hampshire Precertification List, Pg 139 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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