B5100 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

B5100, Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic-HepatAmine-premix, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: B5100
Description: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic-HepatAmine-premix
Source: New Hampshire Precertification List, Pg 210 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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