95783 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

95783, Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 95783
Description: Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist
Source: New Hampshire Precertification List, Pg 195 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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