B4216 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
B4216, Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- B4216
- Description
- Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day
- Source
- New Hampshire Precertification List, Pg 210 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization