95808 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

95808, Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, 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: 95808
Description: Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist
Source: New Hampshire Precertification List, Pg 196 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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