95810 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

95810, Polysomnography; age 6 years or older, sleep staging with 4 or more 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: 95810
Description: Polysomnography; age 6 years or older, sleep staging with 4 or more 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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