90875 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

90875, Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 90875
Description: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes
Source: New Hampshire Precertification List, Pg 184 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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