96365 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

96365, Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 96365
Description: Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
Source: New Hampshire Precertification List, Pg 197 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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