91112 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

91112, Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 91112
Description: Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report
Source: New Hampshire Precertification List, Pg 184 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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