95811 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
95811, Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel 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
- 95811
- Description
- Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
- Source
- New Hampshire Precertification List, Pg 196 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization