A4342 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

A4342, Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: A4342
Description: Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
Source: New Hampshire Precertification List, Pg 207 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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