67902 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

67902, Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 67902
Description: Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)
Source: New Hampshire Precertification List, Pg 140 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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