A4545 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

A4545, Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: A4545
Description: Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
Source: New Hampshire Precertification List, Pg 207 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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