A4542 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

A4542, Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: A4542
Description: Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
Source: New Hampshire Precertification List, Pg 207 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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