67027 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
67027, Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 67027
- Description
- Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous
- Source
- New Hampshire Precertification List, Pg 140 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization