95923 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
95923, Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 95923
- Description
- Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential
- Source
- New Hampshire Precertification List, Pg 12 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization